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20 Parkwood Dr. Ste 3 Chambersburg PA 17201 | |
| (717) 496-9093 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 20 Parkwood Dr., Chambersburg, Pennsylvania |
| Authorized Official Name and Position | Michael Wolter (PRESIDENT) |
| Authorized Official Contact | 7174969093 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
20 Parkwood Dr Ste 3 Chambersburg PA 17201-4400 Ph: (717) 494-9088 | 20 Parkwood Dr. Ste 3 Chambersburg PA 17201 Ph: (717) 496-9093 |
| NPI Number | 1518423623 |
|---|---|
| Provider Enumeration Date | 02/13/2019 |
| Last Update Date | 11/21/2022 |
| Medicare PECOS PAC ID | 0446649784 |
|---|---|
| Medicare Enrollment ID | O20211108002413 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518423623 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
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