NPIMap

Organization Active NPI

Community Check-Up Center of South Harrisburg Inc

  • Primary Care Clinic/Center
  • Harrisburg, PA
National Provider Identifier
1023167293
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
COMMUNITY CHECK-UP CENTER OF SOUTH HARRISBURG INC
Practice address
38C Hall MNR
Harrisburg, PA 17104-3044
Phone
(717) 233-1700
Fax
(717) 236-8752
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Shari Leigh Bellish
Title
Executive Director
Phone
(717) 233-1700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

38C Hall MNR
Harrisburg, PA 17104-3044

Mailing address

38C Hall MNR
Harrisburg, PA 17104-3044
Phone (717) 233-1700

Other identifiers 1

IdentifierTypeStateIssuer
COMCKUPCTROtherPAMEDICAID

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cccdirector@comcast.net Direct

National Provider Directory

National Provider Directory
Tax ID family
Community Check - Up Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629072000000",
    "number": "1023167293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38C HALL MNR",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171043044",
            "telephone_number": "717-233-1700",
            "fax_number": "717-236-8752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38C HALL MNR",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171043044",
            "telephone_number": "717-233-1700",
            "fax_number": "717-236-8752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CHECK-UP CENTER OF SOUTH HARRISBURG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A",
        "authorized_official_last_name": "BELLISH",
        "authorized_official_first_name": "SHARI",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "717-233-1700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "COMCKUPCTR",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cccdirector@comcast.net",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "communication",
            "address_1": "38C Hall Mnr",
            "city": "Harrisburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "171043044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.