NPIMap

Organization Active NPI

Maternal Child Consortium, Inc

  • Community/Behavioral Health Agency
  • Bensalem, PA
National Provider Identifier
1831706365
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MATERNAL CHILD CONSORTIUM, INC
Practice address
4300 Bensalem Blvd
Bensalem, PA 19020-5705
Phone
(267) 525-7000
Fax
(267) 525-7810
NPI assigned
Sep 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2020

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

Authorized official

Name
Mr. Kenneth W. Brownell, R.P.H.
Title
Ceo
Phone
(267) 525-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4300 Bensalem Blvd
Bensalem, PA 19020-5705

Mailing address

800 Clarmont Avneue
Suite B
Bensalem, PA 19020-5705
Phone (267) 525-7000

Other identifiers 1

IdentifierTypeStateIssuer
1007762890003MedicaidPA

Other names 1

  • MCC, Inc. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Maternal Chil Consortium Inc21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

Locations

4300 Bensalem Blvd
Bensalem, PA 19020

NPI Registry JSON

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601337600000",
    "number": "1831706365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CLARMONT AVNEUE",
            "address_2": "SUITE B",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190205705",
            "telephone_number": "267-525-7000",
            "fax_number": "267-525-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 BENSALEM BLVD",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190205705",
            "telephone_number": "267-525-7000",
            "fax_number": "267-525-7810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATERNAL CHILD CONSORTIUM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-29",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-28",
        "status": "A",
        "authorized_official_last_name": "BROWNELL",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "267-525-7000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.P.H."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007762890003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MCC, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bensalem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.