| Clearfield-jefferson Cmhc | |
|
425 Orient Ave Du Bois PA 15801-3219 | |
| (814) 371-1100 | |
| (814) 371-3671 |
| Full Name | Clearfield-jefferson Cmhc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 425 Orient 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 425 Orient Ave Du Bois PA 15801-3219 Ph: (814) 371-1100 |
| NPI Number | 1447371893 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447371893 | NPI | - | NPPES |
| 1007627390067 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 425110 (Pennsylvania) | Primary |
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