NPIMap

Organization Active NPI

Maternal Chil Consortium, Inc

Doing business as MCC, Inc

  • Community/Behavioral Health Agency
  • Bensalem, PA
National Provider Identifier
1255005856
Registry record updated Aug 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MATERNAL CHIL CONSORTIUM, INC
Doing business as
MCC, Inc
Practice address
2215 Hulmeville Road
Bensalem, PA 19020-5705
Phone
(267) 525-7000
Fax
(267) 525-7010
NPI assigned
Aug 6, 2021
Last updated
Aug 6, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2021

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

Authorized official

Name
Mr. Kenneth W Brownell, R.P.H
Title
Ceo
Phone
(267) 525-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2215 Hulmeville Road
Bensalem, PA 19020-5705

Mailing address

800 Clarmont Ave
Suite B
Bensalem, PA 19020-5705
Phone (267) 525-7000

Other identifiers 1

IdentifierTypeStateIssuer
107762890003MedicaidPA

Other names 1

  • MCC, Inc Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Maternal Chil Consortium Inc21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

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

View all 20

Locations

2215 Hulmeville Rd
Bensalem, PA 19020

NPI Registry JSON

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

{
    "created_epoch": "1628208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628208000000",
    "number": "1255005856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CLARMONT AVE",
            "address_2": "SUITE B",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190205705",
            "telephone_number": "267-525-7000",
            "fax_number": "267-525-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 HULMEVILLE ROAD",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190205705",
            "telephone_number": "267-525-7000",
            "fax_number": "267-525-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATERNAL CHIL CONSORTIUM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-06",
        "last_updated": "2021-08-06",
        "certification_date": "2021-07-27",
        "status": "A",
        "authorized_official_last_name": "BROWNELL",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "267-525-7000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.P.H"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107762890003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MCC, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bensalem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.