NPIMap

Organization Active NPI

Childen's Community Care

Doing business as CCP - Hummelstown

  • Pediatrics Physician
  • Hummelstown, PA
National Provider Identifier
1992364475
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
CHILDEN'S COMMUNITY CARE
Doing business as
CCP - Hummelstown
Practice address
8105 Adams Dr Ste a
Hummelstown, PA 17036-8625
Phone
(717) 652-1211
Fax
(717) 652-4948
NPI assigned
Jun 10, 2019
Last updated
Sep 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Authorized official

Name
Lori Martinez
Title
Executive Administrator III
Phone
(724) 933-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

8105 Adams Dr Ste a
Hummelstown, PA 17036-8625

Mailing address

103 Bradford Rd Ste 200
Wexford, PA 15090-6910
Phone (724) 933-1100

Other names 1

  • CCP - Hummelstown Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2112880CCP Hummelstown8105 Adams Drive, Suite a, Hummelstown, PA 17036Certificate of waiverJan 27, 2027

National Provider Directory

National Provider Directory
Tax ID family
Children's Community Pediatrics62 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694563200000",
    "number": "1992364475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 BRADFORD RD STE 200",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150906910",
            "telephone_number": "724-933-1100",
            "fax_number": "724-933-1160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8105 ADAMS DR STE A",
            "city": "HUMMELSTOWN",
            "state": "PA",
            "postal_code": "170368625",
            "telephone_number": "717-652-1211",
            "fax_number": "717-652-4948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDEN'S COMMUNITY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-10",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "EXECUTIVE ADMINISTRATOR III",
        "authorized_official_telephone_number": "724-933-1100"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CCP - Hummelstown",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CCP - Hummelstown",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hummelstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.