OrganizationActive
Prospect Ccmc, LLC
NPI 1376990366 · Clinic/Center · Chester, PA
Provider details
- NPI number
- 1376990366
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Robert Elders, Secretary(714) 788-1249
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
301 W 15th St
Chester, PA 19013
Phone: (610) 619-8600
Street-level locationGet directions
Mailing address
301 W 15th St
Chester, PA 19013-5300
Other names (DBA / former)
- Other name
- Drug & Alcohol Outpatient
- Other name
- Drug & Alcohol Outpatient
Additional practice locations (1)
- 310 W 15th StChester, PA 19013-5316Phone: (610) 447-2040Fax: (610) 447-6620
Registry dates
- Enumerated
- 2016-05-19
- Last updated
- 2021-01-15
- Certified
- 2021-01-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.