| Diakon Child, Family & Community Ministries | |
|
1800 W Market St Lewisburg PA 17837-1236 | |
| (570) 524-9477 | |
| (570) 524-9492 |
| Full Name | Diakon Child, Family & Community Ministries |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1800 W Market St, Lewisburg, Pennsylvania |
| Authorized Official Name and Position | Deborah P White (DIRECTOR OF ADMINISTRATIVE OPS) |
| Authorized Official Contact | 5703227878 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diakon Child, Family & Community Ministries 435 W 4th St Williamsport PA 17701-6001 Ph: (570) 322-7873 | Diakon Child, Family & Community Ministries 1800 W Market St Lewisburg PA 17837-1236 Ph: (570) 524-9477 |
| NPI Number | 1265842413 |
|---|---|
| Provider Enumeration Date | 04/28/2014 |
| Last Update Date | 01/29/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265842413 | NPI | - | NPPES |
| 02319100 | Other | PA | CAPITAL BLUE CROSS |
| 301029 | Other | PA | VALUEOPTIONS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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