PROSPECT CCMC, LLC
NPI 1154785848
Clinic/Center - Ambulatory Surgical in Chester, PA

Active since April 08, 2016
1 MEDICAL CENTER BLVD, CHESTER, PA 19013(610) 447-2000(610) 944-7662 Get Directions Write a Review

NPPES record last updated: January 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Prospect Ccmc, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROSPECT CCMC, LLC (NPI 1154785848) is a healthcare organization registered as an ambulatory surgical in Chester, Pennsylvania and active in the NPI registry since April 2016. The organization lists Robert Jon Elders, Secretary, as its authorized official.

NPPES Registry Identity

NPI1154785848
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePROSPECT CCMC, LLC
Location Address1 MEDICAL CENTER BLVDChester, PA 19013-3902
Mailing Address1 Medical Center BlvdChester, PA 19013-3902 · (610) 447-2000 · Fax (610) 944-7662
Fax(610) 944-7662
Organization SubpartNo
Authorized OfficialRobert Jon EldersSecretary · (714) 788-1249
Enumeration DateApril 8, 2016
Last NPPES UpdateJanuary 11, 2021
NPPES CertifiedJanuary 11, 2021
NPI 1154785848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1 MEDICAL CENTER BLVD, Chester, PA 19013

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
1 MEDICAL CENTER BLVD, POB1, SUITE402
CHESTER, PA 19013
Pharmacist
1 MEDICAL CENTER BLVD
CHESTER, PA 19013
Neurological Surgery
1 MEDICAL CENTER BLVD, POB II SUITE 428
CHESTER, PA 19013
Respite Care
1 MEDICAL CENTER BLVD, SILBERMAN CENTER
UPLAND, PA 19013
Obstetrics & Gynecology
1 MEDICAL CENTER BLVD, ACP #334
CHESTER, PA 19013
Psychiatry & Neurology (Neurology)
1 MEDICAL CENTER BLVD, ACP STE 533
CHESTER, PA 19013
Transplant Surgery
1 MEDICAL CENTER BLVD, POB II SUITE 220
CHESTER, PA 19013
Family Medicine
1 MEDICAL CENTER BLVD
CHESTER, PA 19013

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prospect Ccmc, LLC's NPI number?

The NPI number for Prospect Ccmc, LLC is 1154785848. It was assigned to this organization in the NPPES registry on April 8, 2016.

Where is Prospect Ccmc, LLC located?

Prospect Ccmc, LLC is located at 1 Medical Center Blvd, Chester, PA 19013. The listed phone number is (610) 447-2000.

What is Prospect Ccmc, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Prospect Ccmc, LLC was last updated on January 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.