Prospect Ccmc, LLC
Prospect Ccmc, LLC is a healthcare organization registered as Clinic/Center in Chester, PA, holding Type 2 (organization) NPI 1366806663 since 2016. The authorized official on file is Robert Elders, Secretary.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1366806663 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Prospect Ccmc, LLC |
| Other name | <Unavail> |
| Practice address | 245 BETHEL RD, Chester, PA, 19014 |
| Phone | 6106198700 |
| Enumeration date | 2016-04-12 |
| Last updated in NPPES | 2021-01-15 |
Authorized official
| Name | Robert Elders |
|---|---|
| Title | Secretary |
| Phone | 7147881249 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | Primary | — | — |
Copy-ready billing details
Provider: Prospect Ccmc, LLC NPI: 1366806663 Taxonomy: 261Q00000X (Clinic/Center) Address: 245 BETHEL RD, Chester, PA, 19014
Verify this record
Cross-check NPI 1366806663 against the authoritative CMS record: view Prospect Ccmc, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Prospect Ccmc, LLC?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2021-01-15.