Active NPI
Community Health Clinic, Inc.
- Federally Qualified Health Center (FQHC)
- Greensburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- COMMUNITY HEALTH CLINIC, INC.
- Practice address
- 218 S Maple Ave
Greensburg, PA 15601-3200 - Phone
- (724) 335-3334
- Fax
- (724) 335-2283
- NPI assigned
- Nov 14, 2019
- Last updated
- Nov 14, 2019
- Organization subpart
- Yes
- Parent organization
- COMMUNITY HEALTH CLINIC, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Raji Jayakrishnan
- Title
- Executive Director
- Phone
- (724) 889-2777
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary |
Addresses
Primary practice location
218 S Maple Ave
Greensburg, PA 15601-3200
Mailing address
943 Fourth Ave
New Kensington, PA 15068-6409
Phone (724) 889-2779
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050411000340 | PA | Part B Supplier - Clinic/Group Practice | 5294772463 |
Receives reassigned benefits from 11 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Greensburg, PA; New Kensington, PA; Vandergrift, PA |
| O20250619001813 | PA | Part A Provider - Federally Qualified Health Center (FQHC) | 5294772463 | Practice locations: Greensburg, PA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1437794492. Details of each certification follow.
Federally qualified health center certification: CCN D31038
- Legal name
- COMMUNITY HEALTH CLINIC, INC.
- Doing business as
- COMMUNITY HEALTH CLINIC, INC.
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Jun 3, 2025
- Last certification
- Jun 3, 2025
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation
- Enrollment address
- 218 S Maple Ave
Ste 102
Greensburg, PA 15601-3200
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Federally Qualified Health Center (FQHC)
- New Kensington, PA
- NPI 1699701136
5294772463
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Federally Qualified Health Center (FQHC)
- New Kensington, PA
- NPI 1699701136
O20050411000340
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2176336 | Community Health Clinic, Inc | Certificate of waiver | Dec 11, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Community Health Clinic Inc
- Part of
- Community Health Clinic Inc
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Vandergrift, PA
- NPI 1134694771
-
- Federally Qualified Health Center (FQHC)
- New Kensington, PA
- NPI 1699701136
-
- General Practice Dentistry
- New Kensington, PA
- NPI 1710235551
-
- Clinic/Center
- Vandergrift, PA
- NPI 1902254618
Locations
218 S Maple Ave
Greensburg, PA 15601
Phone (724) 335-3334
218 S Maple Ave
Ste 102
Greensburg, PA 15601
Phone (724) 204-1801
943 4th Ave
New Kensington, PA 15068
Phone (724) 335-3334
Ownership & related parties
All disclosed owners & managing parties 13
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Juanita Nealer | Corporate Director | Mar 1, 2020 | |
| Raji Jayakrishnan | Corporate Director | Mar 1, 2020 | |
| Operational/Managerial Control | Mar 1, 2020 | ||
| Mary Ann Greenlee | Corporate Director | Mar 1, 2020 | |
| William Hall | Corporate Director | Aug 2, 2007 | |
| Charles Kemp | Corporate Director | Mar 1, 2020 | |
| Sarah Sanders | Corporate Director | Mar 1, 2020 | |
| Community Health Clinic, Inc. | Operational/Managerial Control | Mar 1, 2020 | |
| Thomas King | Corporate Director | Mar 1, 2020 | |
| Hollin West | Corporate Director | Mar 1, 2020 | |
| Rick O'Domes | Corporate Director | Mar 1, 2020 | |
| Brenda Bowman | Operational/Managerial Control | Apr 26, 2010 | |
| Lilian Armstead | Corporate Director | Mar 1, 2020 | |
| Barbara Corsi | Corporate Director | Mar 1, 2020 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Federally Qualified Health Center (FQHC)
- New Kensington, PA
- NPI 1699701136
Operational/Managerial Control
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Federally Qualified Health Center (FQHC)
- New Kensington, PA
- NPI 1699701136
Practitioners & affiliated clinicians
Practitioners 8
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.
-
- General Practice Dentistry
- Pittsburgh, PA
- NPI 1568024925
-
- Dentist
- Greensburg, PA
- NPI 1629695069
-
- Dentist
- Greensburg, PA
- NPI 1114748373
-
- Family Medicine Physician
- New Kensington, PA
- NPI 1720275951
-
- General Practice Dentistry
- Greensburg, PA
- NPI 1912824863
-
- Family Medicine Physician
- Allison Park, PA
- NPI 1093951857
-
- Family Medicine Physician
- Blairsville, PA
- NPI 1700179587
-
- Psychiatry Physician
- Miami, FL
- NPI 1497174775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573689600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1573689600000",
"number": "1437794492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "943 FOURTH AVE",
"city": "NEW KENSINGTON",
"state": "PA",
"postal_code": "150686409",
"telephone_number": "724-889-2779",
"fax_number": "724-335-2283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "218 S MAPLE AVE",
"city": "GREENSBURG",
"state": "PA",
"postal_code": "156013200",
"telephone_number": "724-335-3334",
"fax_number": "724-335-2283"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY HEALTH CLINIC, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "COMMUNITY HEALTH CLINIC, INC.",
"enumeration_date": "2019-11-14",
"last_updated": "2019-11-14",
"status": "A",
"authorized_official_last_name": "JAYAKRISHNAN",
"authorized_official_first_name": "RAJI",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "724-889-2777",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensburg, PA
- Matthew R Cole, D.O.
- Zacharie D Cole, D.C.
- Kari Beth Coll, CRNP
- Kara Jo Collins, LPN
- Colon & Rectal Care Center of Pennsylvania LLC
- Community Nursing Service of Greater Jeannette, Inc. (Community HomeHealth Care)
- Community Options, Inc.
- Community Psychiatric Centers Outpatient Clinic
- Complete Family Dentistry
- Comprehensive Counseling and Asessement SE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.