OrganizationActive
Prospect Ccmc, LLC
NPI 1477113249 · Clinic/Center · Collingdale, PA
Provider details
- NPI number
- 1477113249
- 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
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
800 Macdade Blvd
Collingdale, PA 19023-3826
Phone: (610) 915-3496
Street-level locationGet directions
Mailing address
800 Macdade Blvd
Collingdale, PA 19023-3826
Other names (DBA / former)
- Former legal business name
- Prospect Ccmc, LLC
- Former legal business name
- Prospect Ccmc, LLC
Registry dates
- Enumerated
- 2019-06-14
- 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.