Church of the Overcomer

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

CHURCH OF THE OVERCOMER

Practice address

1010 Sunset St
Trainer, PA 19061-5224

Phone

(610) 485-6090

NPI assigned

Jan 28, 2016

Last updated

Jan 28, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Carolyin C. Collins, M.H.S, D.D

Title

Director

Phone

(610) 485-6090

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1453939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453939200000",
    "number": "1922465434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 SUNSET ST",
            "city": "TRAINER",
            "state": "PA",
            "postal_code": "190615224",
            "telephone_number": "610-485-6090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 SUNSET ST",
            "city": "TRAINER",
            "state": "PA",
            "postal_code": "190615224",
            "telephone_number": "610-485-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHURCH OF THE OVERCOMER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-28",
        "last_updated": "2016-01-28",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "CAROLYIN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "610-485-6090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.H.S, D.D"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "PA",
            "license": null,
            "primary": true
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "PA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Preferred Provider Organization in Trainer, PA
• Providers in Trainer, PA by specialty
• Preferred Provider Organization in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; 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.