Commonwealth Clinical Group, Inc.

LBN: Commonwealth Clinical Group, Inc.
Commonwealth Clinical Group, Inc. is an health care organization with primary practice located at 479 Thomas Jones Way Suite 100, Exton PA 19341-2580. 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, Inc. can be contacted via phone (484) 879-6751, or through Basham, Stacie via phone (717) 393-3900.

Contact Information

Primary practice address
479 Thomas Jones Way Suite 100 Exton PA 19341-2580
Phone: (484) 879-6751
Fax: (484) 879-6759
Website:
Map and Directions
Authorized official contact:
Name: Basham, Stacie
Phone: (717) 393-3900

Health care specialties

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

Profile Details

NPI number 1750706198
LBN Legal business name Commonwealth Clinical Group, Inc.
DBA Doing business as
Authorized official Basham, Stacie
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2014
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750706198 NPPES
Pennsylvania MEDICAID 102233443

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