Lawrenceville Laurel Health Center is a medicare enrolled dental clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Lawrenceville, Pennsylvania. The current practice location for Lawrenceville Laurel Health Center is 32 E Lawrence Rd, Lawrenceville Health Center, Lawrenceville, Pennsylvania. For appointments, you can reach them via phone at
(570) 827-0125. The mailing address for Lawrenceville Laurel Health Center is 6a Riverside Plz, Blossburg, Pennsylvania and phone number is (570) 662-1945.
Lawrenceville Laurel Health Center is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1326148164. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(570) 827-0125.
Dental Care Clinic Profile
| Full Name | Lawrenceville Laurel Health Center |
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| Speciality | Clinic/Center |
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| Location | 32 E Lawrence Rd, Lawrenceville, Pennsylvania |
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| Authorized Official Name and Position | Angela M. Vanzile (CREDENTIALING COORDINATOR) |
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| Authorized Official Contact | 5706621945 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Lawrenceville Laurel Health Center
6a Riverside Plz
Blossburg
PA 16912-1137
Ph: (570) 662-1945 | Lawrenceville Laurel Health Center
32 E Lawrence Rd
Lawrenceville Health Center
Lawrenceville
PA 16929
Ph: (570) 827-0125 |
NPI Details:
| NPI Number | 1326148164 |
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| Provider Enumeration Date | 09/22/2006 |
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| Last Update Date | 06/08/2022 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 0446245880 |
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| Medicare Enrollment ID | O20050517000268 |
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Medical Identifiers
Medical identifiers for Lawrenceville Laurel Health Center such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326148164 | NPI | - | NPPES |
| 1000011720039 | Medicaid | PA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
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