Coatesville Clinic Company LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

COATESVILLE CLINIC COMPANY LLC

Practice address

201 Reeceville Rd
Coatesville, PA 19320-1542

Phone

(610) 383-8760

NPI assigned

Jan 10, 2020

Organization subpart

No

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

Authorized official

Name

Gary Conner

Title

VP & Cfo

Phone

(484) 628-8181

Specialties & licenses 3

Addresses

Other names 1

• Telemedicine Brandywine Tower Health Medical Group Doing business as

Locations

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

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578960000000",
    "number": "1720628407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13579",
            "city": "READING",
            "state": "PA",
            "postal_code": "196123579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 REECEVILLE RD",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193201542",
            "telephone_number": "610-383-8760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COATESVILLE CLINIC COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-10",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A",
        "authorized_official_last_name": "CONNER",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "VP & CFO",
        "authorized_official_telephone_number": "484-628-8181"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Telemedicine Brandywine Tower Health Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Coatesville Area School District
• Coatesville Clinic Company LLC
• Coatesville Clinic Company, LLC
• Coatesville Clinic Company, LLC
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• Coatesville Community Pharmacy Inc
• Coatesville Hospital Corporation

• Neurology Physician in Coatesville, PA
• Providers in Coatesville, PA by specialty
• Neurology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; 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.