Community Health and Dental Care, Inc
Organization Active NPI Federally Qualified Health Center (FQHC) · Pottstown, PA
NPI 1295994341 · NPPES record last updated Feb 15, 2019
Key facts
- NPI
- 1295994341
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- License
- 3293340 (PA)
- Legal business name
- COMMUNITY HEALTH AND DENTAL CARE, INC
- Practice address
- 351 W Schuylkill Rd Ste G-15a
Pottstown, PA 19465-7438 - Phone
- (610) 326-9460
- Fax
- (610) 222-5006
- NPI assigned
- Jun 4, 2008
- Organization subpart
- No
Authorized official
- Name
- Bridget McGivern
- Title
- Chief Executive Officer
- Phone
- (610) 326-9460
Owners & managing parties with NPI records 1
-
Irene Shepherd, CRNP
Other NPIs on the same Medicare enrollment 2
Other NPIs with the same Medicare PAC ID 4
Practitioners 71
-
Thomas Charles Beideman, D.P.M.
-
Sharon J Fleischer, M.D.
-
Nyeemah Kennedy, MD
-
Vinutha J Netaji, M.D.
-
Therese M Rinaldi, DPM
-
Scott R Samuelson, DPM
-
Marqueta N Smith, NP
-
Leeat Adlersberg, DPT
-
Tania Bradkin, LCSW
-
Christine Campbell, CRNP
-
Min Qin Chen, O.D.
-
John P Dahdah, DPM
-
Pamela Deloretta, LCSW
-
Sandy Ding, DDS
-
Mary Dressler-Carre, CRNP
-
Syed Ali Raza Fahim, DMD
-
Felicia Figueroa, M.D.
-
Daniel Finnegan Jr., DMD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in PA
Federally qualified health center certification: CCN 391040
- Legal name
- COMMUNITY HEALTH AND DENTAL CARE INC
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Apr 23, 2014
- Last certification
- Apr 23, 2014
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation · Non-profit
- Incorporated
- Mar 23, 2005 in PA
- Enrollment address
- 700 Heritage Dr
Ste 701
Pottstown, PA 19464-3297
All disclosed owners & managing parties 6
| Name | Role | Since | Share |
|---|---|---|---|
| Ruth Cole |
Corporate Director |
Dec 8, 2023 | |
| Jack Burns |
Corporate Director |
Dec 8, 2023 | |
| Frank Buttaro |
Corporate Director |
Dec 8, 2023 | |
| Irene Shepherd |
W-2 Managing Employee |
Apr 9, 2018 | 50% |
| Marta Pecharo |
Corporate Director |
Dec 8, 2023 | |
| Bridget McGivern |
W-2 Managing Employee |
Sep 7, 2010 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081112000554 | PA | Part B Supplier - Clinic/Group Practice | 5395804827 |
Receives reassigned benefits from 68 practitioners 1 other NPI on this enrollment Practice locations: Barto, PA; Boyertown, PA; Pottstown, PA |
| O20140416001126 | PA | Part a Provider - Federally Qualified Health Center (FQHC) | 5395804827 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Pottstown, PA |
National Provider Directory
Locations
6 E Philadelphia Ave
Boyertown, PA 19512
Phone (610) 369-0606
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Clinic/Center | 261QC1500X | 3293340 | PA | |
| Federally Qualified Health Center (FQHC) | 261QF0400X | 3293340 | PA | Yes |
Addresses
Primary practice location
351 W Schuylkill Rd Ste G-15a
Pottstown, PA 19465-7438
Mailing address
351 W Schuylkill Rd Ste G-15a
Pottstown, PA 19465-7438
Phone (610) 326-9460
Other names
- Pottstown Area Health Center, Inc
Other providers in Pottstown, PA
- Shelly Ranae Collings
- Casey Collins
- Stacey Diane Collins
- Ronald A Cologna
- Commonwealth Dental Specialist
- Community Health and Dental Care, Inc
- Community Health and Dental Care, Inc
- Community Health and Dental Care, Inc
- Community Health and Dental Care, Inc
- Community Health and Dental Care, Inc.
All providers in Pottstown, PA · Federally Qualified Health Center (FQHC) in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 15, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.