Commonwealth Clinical Group

LBN: Commonwealth Clinical Group
Commonwealth Clinical Group is an health care organization with primary practice located at 450 S 5Th St , Reading PA 19602-2642. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Commonwealth Clinical Group can be contacted via phone (610) 372-5645, or through Basham, Stacie via phone (717) 560-7917.

Contact Information

Primary practice address
450 S 5Th St Reading PA 19602-2642
Phone: (610) 372-5645
Fax: (610) 898-9229
Website:
Map and Directions
Authorized official contact:
Name: Basham, Stacie
Phone: (717) 560-7917

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 326900 Pennsylvania

Profile Details

NPI number 1932484482
LBN Legal business name Commonwealth Clinical Group
DBA Doing business as
Authorized official Basham, Stacie
Entity Organization
Organization subpart 1 No
Enumeration date Oct 17th, 2011
Last updated Sep 15th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1932484482 NPPES
Pennsylvania MEDICAID 102233443

Popular Providers