Organization Active NPI

Middletown Community Health Center Inc

  • Non-Surgical Family Planning Clinic/Center
  • Middletown, NY
National Provider Identifier
1275736449
Registry record updated Jun 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Surgical Family Planning Clinic/CenterTaxonomy code 261QF0050X
Legal business name
MIDDLETOWN COMMUNITY HEALTH CENTER INC
Practice address
21 Orchard St
Middletown, NY 10940-5004
Phone
(845) 343-7614
Fax
(845) 343-5390
NPI assigned
Jun 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2013

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

Authorized official

Name
Mrs. Theresa Maloney
Title
Chief Executive Officer
Phone
(845) 343-7614

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Surgical Family Planning Clinic/Center 261QF0050X NY Primary

Addresses

Primary practice location

21 Orchard St
Middletown, NY 10940-5004

Mailing address

PO Box 987
21 Orchard Street
Middletown, NY 10940-0987
Phone (845) 343-7614

Other identifiers 1

IdentifierTypeStateIssuer
00355931MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371772800000",
    "number": "1275736449",
    "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": "21 ORCHARD ST",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109405004",
            "telephone_number": "845-343-7614",
            "fax_number": "845-343-5390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLETOWN COMMUNITY HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2013-06-21",
        "status": "A",
        "authorized_official_last_name": "MALONEY",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "845-343-7614",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "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

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2013; 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.