Community Integration | |
218 N Pine St Lancaster PA 17603-3435 | |
(717) 559-5030 | |
Not Available |
Full Name | Community Integration |
---|---|
Speciality | Social Worker |
Location | 218 N Pine St, Lancaster, Pennsylvania |
Authorized Official Name and Position | Michael Sugar (OWNER) |
Authorized Official Contact | 4107073919 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Community Integration 218 N Pine St Lancaster PA 17603-3435 Ph: (717) 559-5030 | Community Integration 218 N Pine St Lancaster PA 17603-3435 Ph: (717) 559-5030 |
NPI Number | 1073229530 |
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Provider Enumeration Date | 01/27/2023 |
Last Update Date | 02/28/2024 |
Certification Date | 02/28/2024 |
Medicare PECOS PAC ID | 5294107405 |
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Medicare Enrollment ID | O20230217000158 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073229530 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Michael R Sugar |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1023495926 PECOS PAC ID: 6103298310 Enrollment ID: I20230217000183 |
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