| |
40 W Wellsboro St, Mansfield, PA 16933-1411 | |
(570) 662-1948 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 40 W Wellsboro St, Mansfield, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609433036 | NPI | - | NPPES |
1000011720038 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (* (Not Available)) | Secondary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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40 W Wellsboro St, Mansfield, PA 16933-1411 Ph: (570) 662-1955 | 40 W Wellsboro St, Mansfield, PA 16933-1411 Ph: (570) 662-1948 |