| Clearfield-jefferson Cmhc | |
|
635 Maple Ave Du Bois PA 15801-2376 | |
| (814) 371-1100 | |
| (814) 371-3671 |
| Full Name | Clearfield-jefferson Cmhc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 635 Maple Ave, Du Bois, 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 100 Caldwell Dr Du Bois PA 15801-1152 Ph: (814) 371-1100 | Clearfield-jefferson Cmhc 635 Maple Ave Du Bois PA 15801-2376 Ph: (814) 371-1100 |
| NPI Number | 1336261296 |
|---|---|
| Provider Enumeration Date | 04/04/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336261296 | NPI | - | NPPES |
| 1007627390022 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 407300 (Pennsylvania) | Primary |
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