| Clearfield-jefferson Cmhc | |
|
501 E Market St Clearfield PA 16830-2468 | |
| (814) 371-1100 | |
| (814) 375-0120 |
| Full Name | Clearfield-jefferson Cmhc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 501 E Market St, Clearfield, Pennsylvania |
| Authorized Official Name and Position | Karen H Forsha (BILLING SUPERVISOR) |
| Authorized Official Contact | 8143711100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clearfield-jefferson Cmhc 501 E Market St Clearfield PA 16830-2468 Ph: (814) 371-1100 | Clearfield-jefferson Cmhc 501 E Market St Clearfield PA 16830-2468 Ph: (814) 371-1100 |
| NPI Number | 1558482992 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558482992 | NPI | - | NPPES |
| 1007627390025 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 407300 (Pennsylvania) | Primary |
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