Community Inclusion Inc

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

COMMUNITY INCLUSION INC

Doing business as

TRC Community Health Center

Practice address

890 E 2ND St
Jamestown, NY 14701-3824

Phone

(716) 661-1447

NPI assigned

Nov 14, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Heather C. Brown

Title

VP

Phone

(716) 450-4351

Specialties & licenses 1

Addresses

Other names 1

• TRC Community Health Center Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adnan Munir, M.D

  • Family Medicine Physician
  • Jamestown, NY
  • NPI 1881684017
  Medicare reassignment Care Compare group NPD
• Emma Otieno, DPM

  • Podiatrist
  • New York, NY
  • NPI 1730716119
  Medicare reassignment Care Compare group NPD
• Amy Jo Caldwell, FNP-C

  • Nurse Practitioner
  • Jamestown, NY
  • NPI 1891392122
  Medicare reassignment Care Compare group
• Linda Sue Bowman, D.D.S.

  • Dentist
  • Falconer, NY
  • NPI 1104047661
  Medicare reassignment NPD
• MD Rezaul Islam Sarker, DMD

  • General Practice Dentistry
  • Jamestown, NY
  • NPI 1568091247
  Medicare reassignment NPD

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

{
    "created_epoch": "1699920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699920000000",
    "number": "1699549287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 DUNHAM AVE",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147012528",
            "telephone_number": "716-450-4351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 E 2ND ST",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147013824",
            "telephone_number": "716-661-1447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY INCLUSION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-14",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "716-450-4351",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRC Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexa Colletti, LMSW
• Patrick Collins
• Brady Robert Collver, PT, DPT
• Comfort Today
• Community Eye Care Specialists P C
• Ella Conley
• Peter B Conley II, OTR/L
• George W Conner, MD
• Michael Connor
• Jacquelyn M Conroe, R.N.

• Multi-Specialty Clinic/Center in Jamestown, NY
• Providers in Jamestown, NY by specialty
• Multi-Specialty Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.