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Prospect Ccmc, LLC

Prospect Ccmc, LLC is a healthcare organization registered as Clinic/Center in Media, PA, holding Type 2 (organization) NPI 1740644053 since 2016. The authorized official on file is Robert Elders, Secretary.

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NPI 1740644053
Entity type Organization (Type 2)
Legal business name Prospect Ccmc, LLC
Other name <Unavail>
Practice address 710 S MIDDLETOWN RD, Media, PA, 19063
Phone 6104472000
Fax 6104476620
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: 1740644053
Taxonomy: 261Q00000X (Clinic/Center)
Address: 710 S MIDDLETOWN RD, Media, PA, 19063

Providers at this address

NPI Name Type Specialty Location
1538875562 Child and Family Focus Organization Community/Behavioral Health Agency Media, PA

Verify this record

Cross-check NPI 1740644053 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

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2021-01-15. Verify at npiregistry.cms.hhs.gov.
Where is Prospect Ccmc, LLC located?
The practice location on file with NPPES is in Media, PA.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2021-01-15.