Clearfield-jefferson Cmhc | |
103 N Gilpin St Punxsutawney PA 15767-2055 | |
(814) 371-1100 | |
(814) 375-0120 |
Full Name | Clearfield-jefferson Cmhc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 103 N Gilpin St, Punxsutawney, 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 103 N Gilpin St Punxsutawney PA 15767-2055 Ph: (814) 371-1100 | Clearfield-jefferson Cmhc 103 N Gilpin St Punxsutawney PA 15767-2055 Ph: (814) 371-1100 |
NPI Number | 1649391087 |
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Provider Enumeration Date | 04/03/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649391087 | NPI | - | NPPES |
1007627390042 | Medicaid | PA | |
124074 | Other | PA | HIMARK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 436040 (Pennsylvania) | Primary |
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