NPIMap

Organization Active NPI

Community Health Care, Inc.

Doing business as CompleteCare Health Network

  • Federally Qualified Health Center (FQHC)
  • Millville, NJ
National Provider Identifier
1063715332
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COMMUNITY HEALTH CARE, INC.
Doing business as
CompleteCare Health Network
Practice address
530 High St N
Millville, NJ 08332-3009
Phone
(856) 451-4700
Fax
(856) 451-8685
NPI assigned
Dec 8, 2010
Last updated
Mar 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Authorized official

Name
Mr. James C Edwards
Title
Ceo/President
Phone
(856) 451-4700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 23304 NJ
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

530 High St N
Millville, NJ 08332-3009

Mailing address

14 N Pearl St
Bridgeton, NJ 08302-1902
Phone (856) 451-4700

Other names 1

  • CompleteCare Health Network Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tomar Raqhurijs MD12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Locations

251 W Broad St
Bridgeton, NJ 08302
Phone (856) 453-1233

70 Cohansey St
Bridgeton, NJ 08302
Phone (856) 497-6650

715 Delsea Dr N
Ste 35
Glassboro, NJ 08028

484 S Brewster Rd
South Vineland, NJ 08361
Phone (856) 696-0300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1063715332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 N PEARL ST",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083021902",
            "telephone_number": "856-451-4700",
            "fax_number": "856-575-0818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 HIGH ST N",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "083323009",
            "telephone_number": "856-451-4700",
            "fax_number": "856-451-8685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-08",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "856-451-4700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NJ",
            "license": "23304",
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CompleteCare Health Network",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Millville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; 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.