| Hometown Health Centers Dental At Mcclellan Street | |
|
600 Mcclellan St Dental Suite Schenectady NY 12304-1009 | |
| (518) 370-1441 | |
| (518) 395-9431 |
| Full Name | Hometown Health Centers Dental At Mcclellan Street |
|---|---|
| Speciality | Clinic/Center |
| Location | 600 Mcclellan St, Schenectady, New York |
| Authorized Official Name and Position | Amy J Cole (CREDENTIALING MANAGER) |
| Authorized Official Contact | 5183701441 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hometown Health Centers Dental At Mcclellan Street 1044 State St Schenectady NY 12307-1508 Ph: (518) 370-1441 | Hometown Health Centers Dental At Mcclellan Street 600 Mcclellan St Dental Suite Schenectady NY 12304-1009 Ph: (518) 370-1441 |
| NPI Number | 1457024218 |
|---|---|
| Provider Enumeration Date | 07/28/2021 |
| Last Update Date | 08/18/2021 |
| Medicare PECOS PAC ID | 1850280827 |
|---|---|
| Medicare Enrollment ID | O20230322000096 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457024218 | NPI | - | NPPES |
| 02995513 | Medicaid | NY | |
| 53099A | Other | NY | MEDICARE PIN |
| 331833 | Other | NY | MEDICARE OSCAR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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