Active NPI
Community Health Associates, LLC
- Family Medicine Physician
- Dushore, PA
National Provider Identifier
1053619924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD035289E
- Legal business name
- COMMUNITY HEALTH ASSOCIATES, LLC
- Practice address
- 11026 Route 220
Dushore, PA 18614-7413 - Phone
- (570) 928-2800
- NPI assigned
- Mar 2, 2011
- Last updated
- Mar 2, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. William Rohrbach
- Title
- Cfo
- Phone
- (570) 268-2207
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD035289E | PA | Primary |
Addresses
Primary practice location
11026 Route 220
Dushore, PA 18614-7413
Mailing address
PO Box 47
Towanda, PA 18848-0047
Phone (570) 265-2422
National Provider Directory
National Provider Directory- Tax ID family
- Community Health Associates LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Nurse Practitioner
- Towanda, PA
- NPI 1245667120
-
- Family Medicine Physician
- Wyalusing, PA
- NPI 1528366812
Locations
11026 Route 220
Dushore, PA 18614
Phone (570) 928-2800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299024000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1299024000000",
"number": "1053619924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 47",
"city": "TOWANDA",
"state": "PA",
"postal_code": "188480047",
"telephone_number": "570-265-2422",
"fax_number": "570-268-4797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11026 ROUTE 220",
"city": "DUSHORE",
"state": "PA",
"postal_code": "186147413",
"telephone_number": "570-928-2800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY HEALTH ASSOCIATES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-02",
"last_updated": "2011-03-02",
"status": "A",
"authorized_official_last_name": "ROHRBACH",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "570-268-2207",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD035289E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dushore, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.