A Community Clinic, Inc

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

License

MD029269L Issued in PA

Legal business name

A COMMUNITY CLINIC, INC

Practice address

344 Market St
Sunbury, PA 17801-3404

Phone

(570) 988-1270

Fax

(570) 286-4050

NPI assigned

Oct 9, 2007

Last updated

Mar 16, 2017By 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

Mrs. Deni Jo Long

Title

Executive Director

Phone

(570) 988-1270

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489622400000",
    "number": "1932397668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 MARKET ST",
            "city": "SUNBURY",
            "state": "PA",
            "postal_code": "178013404",
            "telephone_number": "570-988-1270",
            "fax_number": "570-286-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 MARKET ST",
            "city": "SUNBURY",
            "state": "PA",
            "postal_code": "178013404",
            "telephone_number": "570-988-1270",
            "fax_number": "570-286-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A COMMUNITY CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2017-03-16",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "DENI",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "570-988-1270",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "PA",
            "license": "MD029269L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Voluntary or Charitable Agency in Sunbury, PA
• Providers in Sunbury, PA by specialty
• Voluntary or Charitable Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.