| Pike County Behavioral Health And Dental Clinic | |
|
750 Route 739 Suite D Lords Valley PA 18428-6071 | |
| (570) 251-6534 | |
| Not Available |
| Full Name | Pike County Behavioral Health And Dental Clinic |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 750 Route 739, Lords Valley, Pennsylvania |
| Authorized Official Name and Position | Frederick Jackson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5702538450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pike County Behavioral Health And Dental Clinic 601 Park St Honesdale PA 18431-1445 Ph: () - | Pike County Behavioral Health And Dental Clinic 750 Route 739 Suite D Lords Valley PA 18428-6071 Ph: (570) 251-6534 |
| NPI Number | 1184055428 |
|---|---|
| Provider Enumeration Date | 12/12/2013 |
| Last Update Date | 12/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184055428 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Lords Valley Dental Care Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 642 Route 739, Lords Valley, PA 18428 Phone: 570-938-2997 Fax: 570-576-1988 |