Medical Complete Care Clinic

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

MEDICAL COMPLETE CARE CLINIC

Practice address

910 E 4TH St
Bethlehem, PA 18015-1904

Phone

(610) 419-8088

Fax

(610) 419-8088

NPI assigned

Nov 27, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Jesus Montilla

Title

Ceo

Phone

(610) 419-8088

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1543276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553558400000",
    "number": "1043780661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 E 4TH ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151904",
            "telephone_number": "610-419-8088",
            "fax_number": "610-419-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 E 4TH ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151904",
            "telephone_number": "610-419-8088",
            "fax_number": "610-419-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL COMPLETE CARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-27",
        "last_updated": "2019-03-26",
        "status": "A",
        "authorized_official_last_name": "MONTILLA",
        "authorized_official_first_name": "JESUS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "610-419-8088",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical Associates of the Lehigh Valley PC
• Medical Associates of the Lehigh Valley PC
• Medical Associates of the Lehigh Valley PC
• Medical Associates of the Lehigh Valley PC
• Medical Associates of the Lehigh Valley PC
• Medical Staffing Network, Inc.
• Dinnette Aracely Medina, MA
• Rene Agne Medina, LCSW
• Sylvia Medina, O.D.
• Tasha Medina, LCSW

• Multi-Specialty Clinic/Center in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Multi-Specialty Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; 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.