Active NPI
Middletown Community Health Center Inc
- General Practice Dentistry
- Middletown, NY
National Provider Identifier
1265573737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- MIDDLETOWN COMMUNITY HEALTH CENTER INC
- Practice address
- 27 North Street
Middletown, NY 10940 - Phone
- (845) 334-2390
- Fax
- (845) 343-5390
- NPI assigned
- Feb 9, 2007
- 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
- Mrs. Theresa Maloney
- Title
- Ceo
- Phone
- (845) 343-7614
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | NY | Primary |
Addresses
Primary practice location
27 North Street
Middletown, NY 10940
Mailing address
PO Box 987
21 Orchard Street
Middletown, NY 10940-0987
Phone (845) 343-7614
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00355931 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Federally qualified health center certification: CCN 331898
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- MIDDLETOWN COMMUNITY HEALTH CENTER
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Aug 20, 2001
- Last certification
- Aug 20, 2001
- Ownership / control type
- For profit – partnership
- Facility address
- 27 North Street
Middletown, NY 10940
National Provider Directory
National Provider DirectoryLocations
27 North St
Middletown, NY 10940
Phone (845) 342-3900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1301011200000",
"number": "1265573737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 987",
"address_2": "21 ORCHARD STREET",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109400987",
"telephone_number": "845-343-7614",
"fax_number": "845-343-5390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 NORTH STREET",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "10940",
"telephone_number": "845-334-2390",
"fax_number": "845-343-5390"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDDLETOWN COMMUNITY HEALTH CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-09",
"last_updated": "2011-03-25",
"status": "A",
"authorized_official_last_name": "MALONEY",
"authorized_official_first_name": "THERESA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "845-343-7614",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00355931",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Middletown, NY
- Middletown Chemists Inc
- Middletown Chiropractic PC
- Middletown Community Health Center
- Middletown Community Health Center
- Middletown Community Health Center Inc
- Middletown Community Health Center Inc
- Middletown Community Health Center Inc
- Middletown Community Health Center Inc
- Middletown Community Health Center, Inc.
- Middletown Dental Associates
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.