MIDDLETOWN COMMUNITY HEALTH CENTER INC (NPI# 1972643492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972643492 |
| Entity Type | Organization |
| Organization Name | MIDDLETOWN COMMUNITY HEALTH CENTER INC |
| Other Organization Name | UNITED COMMUNITY HEALTH CENTER |
| Practice Address |
99 Cameron Street Pine Bush NY 12566 |
| Mailing Address |
Po Box 987 21 Orchard Street Middletown NY 10940-0987 |
| Practice Telephone | 8457442067 |
| Practice Fax Number | 8453435390 |
| Mailing Telephone | 8453437614 |
| Mailing Fax Number | 8453435390 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2011-03-25 |
| Authorized Official Name | MS. THERESA MALONEY (CEO) |
| Authorized Official Telephone | 8453437614 |
| Is Organization Subpart | Y |
| Parent Organization Name | MIDDLETOWN COMMUNITY HEALTH CENTER INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00355931 | 05 |
| Other Name | Type Code |
|---|---|
| United Community Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912047861 | Middletown Community Health Center Inc | Pediatrics | 14 Grove Street, Middletown, NY 10940 | 2007-02-08 |
| 1194865048 | Middletown Community Health Center Inc | Obstetrics & Gynecology | 20 Walnut Street Suite C, Montgomery, NY 12549 | 2007-02-08 |
| 1609055409 | Middletown Community Health Center Inc | Dentist | 140 Hammond Street, Port Jervis, NY 12771-2607 | 2007-10-29 |
| 1861696841 | Middletown Community Health Center Inc | Clinic/Center | 53 Gibson Road, Goshen, NY 10924 | 2007-06-13 |
| 1225231699 | Middletown Community Health Center Inc | Clinic/Center | 60 Prospect Avenue, Middletown, NY 10940 | 2007-06-06 |
| 1275736449 | Middletown Community Health Center Inc | Clinic/Center | 21 Orchard St, Middletown, NY 10940-5004 | 2007-06-06 |
| 1265573737 | Middletown Community Health Center Inc | Dentist | 27 North Street, Middletown, NY 10940 | 2007-02-09 |
| 1912071861 | Middletown Community Health Center Inc | Clinic/Center | 10 Benton Avenue, Middletown, NY 10940 | 2006-11-20 |
| Street Address |
99 CAMERON STREET |
| City | PINE BUSH |
| State | NY |
| Zip Code | 12566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609439058 | Mary Helen Cuzo | Social Worker | 76 Boniface Drive Suite 8, Pine Bush, NY 12566 | 2019-04-20 |
| 1518419431 | Beth Morales | Spec/Tech, Cardiovascular | 28 Charles St., Pine Bush, NY 12566 | 2016-10-26 |
| 1932567112 | Jesse Gotay | Specialist/Technologist | 156 New York 302, Pine Bush, NY 12566 | 2016-02-03 |
| 1902271620 | Over The Moon Enrichment Agency | Early Intervention Provider Agency | 61 A Main Street, Pine Bush, NY 12566 | 2015-12-07 |
| 1962759266 | Janet M Langley | Occupational Therapy Assistant | 111 Kelly Ave, Pine Bush, NY 12566 | 2012-08-07 |
| 1477821643 | Sherry Mcchesney | Occupational Therapy Assistant | Ulsterville Rd, Pine Bush Elementary School, Pine Bush, NY 12566 | 2011-12-02 |
| 1689950834 | Rosie Oaks Franklin | Occupational Therapist | 1912 State Route 52, Pine Bush, NY 12566 | 2011-11-01 |
| 1477853067 | Suzanne Marie Scarzafava | Physical Therapy Assistant | 156 Route 302, Pine Bush, NY 12566 | 2010-10-28 |
| 1962712679 | Joanne Faye Mermell | Registered Nurse | 30 Paddock Drive, Pine Bush, NY 12566 | 2010-10-15 |
| 1578892949 | Theresa Caroselli | Physical Therapist | 155 Center St., Pine Bush Physical Therapy, Pine Bush, NY 12566 | 2009-12-15 |
| Find all providers in zip 12566 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.