| Commonwealth Clinical Group, Inc. | |
|
2444 N 3rd St Harrisburg PA 17110-1901 | |
| (717) 236-3600 | |
| (717) 735-1901 |
| Full Name | Commonwealth Clinical Group, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2444 N 3rd St, Harrisburg, Pennsylvania |
| Authorized Official Name and Position | Stacie Basham (BILLING COORDINATOR) |
| Authorized Official Contact | 7173933900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Commonwealth Clinical Group, Inc. 41 E Orange St Lancaster PA 17602-2846 Ph: (717) 393-3900 | Commonwealth Clinical Group, Inc. 2444 N 3rd St Harrisburg PA 17110-1901 Ph: (717) 236-3600 |
| NPI Number | 1144465899 |
|---|---|
| Provider Enumeration Date | 12/10/2008 |
| Last Update Date | 09/15/2021 |
| Certification Date | 09/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144465899 | NPI | - | NPPES |
| 102233443 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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