| Community Health Clinic, Inc. | |
|
943 Fourth Avenue New Kensington PA 15068-6409 | |
| (724) 335-3334 | |
| (724) 335-2283 |
| Full Name | Community Health Clinic, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 943 Fourth Avenue, New Kensington, Pennsylvania |
| Authorized Official Name and Position | Raji Jayakrishnan (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7243353334 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Health Clinic, Inc. 943 Fourth Avenue New Kensington PA 15068-6409 Ph: (724) 335-3334 | Community Health Clinic, Inc. 943 Fourth Avenue New Kensington PA 15068-6409 Ph: (724) 335-3334 |
| NPI Number | 1699701136 |
|---|---|
| Provider Enumeration Date | 06/25/2006 |
| Last Update Date | 06/02/2016 |
| Medicare PECOS PAC ID | 5294772463 |
|---|---|
| Medicare Enrollment ID | O20050411000340 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699701136 | NPI | - | NPPES |
| 1546540 | Other | PA | GATEWAY HEALTH PLAN |
| 3976949 | Other | PA | AETNAUS HEALTHCARE GROUP# |
| 001696755 | Other | PA | BC/BS GROUP NUMBER |
| 1012676430003 | Medicaid | PA |
| Provider Name | Ma Charmaine R Batac |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720275951 PECOS PAC ID: 5597959015 Enrollment ID: I20101028001287 |
| Provider Name | Michael Thomas Ryan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1831355189 PECOS PAC ID: 8921276460 Enrollment ID: I20110727000450 |
| Provider Name | Adolfo G Bagnarello |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386641280 PECOS PAC ID: 5395873723 Enrollment ID: I20140723000222 |
| Provider Name | Danielle A Roe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700179587 PECOS PAC ID: 4082938550 Enrollment ID: I20150112001311 |
| Provider Name | Charlotte Lynn Vermeulen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225469901 PECOS PAC ID: 3072812619 Enrollment ID: I20160503000461 |
| Provider Name | Monica Lynn Vega |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497174775 PECOS PAC ID: 9335571298 Enrollment ID: I20191114000408 |
| Provider Name | John Michael Burnheimer |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1568024925 PECOS PAC ID: 1557736089 Enrollment ID: I20230413002762 |
| Provider Name | Hannah Elizabeth Gill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598481327 PECOS PAC ID: 3274998240 Enrollment ID: I20230426000726 |
| Provider Name | Nathan B Durgin |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1629695069 PECOS PAC ID: 0143758144 Enrollment ID: I20250103001295 |
| Provider Name | Jack Harlan |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1114748373 PECOS PAC ID: 3274061171 Enrollment ID: I20250106001993 |
| Provider Name | Katharine Elise Davis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336700186 PECOS PAC ID: 9133641178 Enrollment ID: I20250319000779 |
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