Middletown Community Health Center Inc

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

MIDDLETOWN COMMUNITY HEALTH CENTER INC

Practice address

10 Benton Avenue
Middletown, NY 10940

Phone

(845) 343-8838

Fax

(845) 343-5390

NPI assigned

Nov 20, 2006

Last updated

Mar 25, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

MIDDLETOWN COMMUNITY HEALTH CENTER INCAs reported in NPPES

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

Authorized official

Name

Mrs. Theresa Maloney

Title

Ceo

Phone

(845) 343-7614

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Donald B Niebel

Locations

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301011200000",
    "number": "1912071861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 987",
            "address_2": "21 ORCHARD STREET",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109400987",
            "telephone_number": "845-343-7614",
            "fax_number": "845-343-5390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 BENTON AVENUE",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "10940",
            "telephone_number": "845-343-8838",
            "fax_number": "845-343-5390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLETOWN COMMUNITY HEALTH CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIDDLETOWN COMMUNITY HEALTH CENTER INC",
        "enumeration_date": "2006-11-20",
        "last_updated": "2011-03-25",
        "status": "A",
        "authorized_official_last_name": "MALONEY",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "845-343-7614",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00355931",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Middletown Community Health Center
• Middletown Community Health Center Inc
• Middletown Community Health Center Inc
• Middletown Community Health Center Inc
• Middletown Community Health Center Inc
• Middletown Community Health Center, Inc.
• Middletown Dental Associates (Middletown Dental Asssociates)
• Middletown Dental PC (middletown dental group)
• Middletown Eye Care OD PC
• Middletown Health Wellness Chiropractic PC

• Community Health Clinic/Center in Middletown, NY
• Providers in Middletown, NY by specialty
• Community Health Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2011; 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.