| Clinical Outcomes Group, Inc. | |
|
1 S 2nd St Fl 1 Pottsville PA 17901-3088 | |
| (570) 628-6990 | |
| (570) 628-5899 |
| Full Name | Clinical Outcomes Group, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 1 S 2nd St Fl 1, Pottsville, Pennsylvania |
| Authorized Official Name and Position | Alicia Fleischut (FACILITY DIRECTOR) |
| Authorized Official Contact | 5706286990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinical Outcomes Group, Inc. 1 S 2nd St Fl 1 Pottsville PA 17901-3088 Ph: (570) 628-6990 | Clinical Outcomes Group, Inc. 1 S 2nd St Fl 1 Pottsville PA 17901-3088 Ph: (570) 628-6990 |
| NPI Number | 1841469954 |
|---|---|
| Provider Enumeration Date | 02/22/2008 |
| Last Update Date | 06/26/2020 |
| Certification Date | 06/26/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841469954 | NPI | - | NPPES |
| 101365368 | Medicaid | PA |
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