Provider Demographics
NPI:1487896692
Name:COMMUNITY HEALTH CLINIC OF BUTLER COUNTY INC
Entity type:Organization
Organization Name:COMMUNITY HEALTH CLINIC OF BUTLER COUNTY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:
Authorized Official - Last Name:MIKOLAJCZAK
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:724-841-0980
Mailing Address - Street 1:103 BONNIE DR
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16002-8503
Mailing Address - Country:US
Mailing Address - Phone:724-841-0980
Mailing Address - Fax:724-841-0984
Practice Address - Street 1:103 BONNIE DR
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16002-8503
Practice Address - Country:US
Practice Address - Phone:724-841-0980
Practice Address - Fax:724-841-0984
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-02
Last Update Date:2016-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care