Dignity, Inc | |
65 Bryden St Pittston PA 18640-3450 | |
(570) 225-9299 | |
Not Available |
Full Name | Dignity, Inc |
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Speciality | Social Worker |
Location | 65 Bryden St, Pittston, Pennsylvania |
Authorized Official Name and Position | Rebecca Race (CEO) |
Authorized Official Contact | 7733174452 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dignity, Inc 65 Bryden St Pittston PA 18640-3450 Ph: (570) 225-9299 | Dignity, Inc 65 Bryden St Pittston PA 18640-3450 Ph: (570) 225-9299 |
NPI Number | 1053994293 |
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Provider Enumeration Date | 05/05/2021 |
Last Update Date | 06/24/2024 |
Certification Date | 06/24/2024 |
Medicare PECOS PAC ID | 0547660276 |
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Medicare Enrollment ID | O20210616002639 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053994293 | NPI | - | NPPES |
104166359 | Medicaid | PA |
Provider Name | Kelly Vermeeren-smith |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1376156844 PECOS PAC ID: 8224438965 Enrollment ID: I20210616003318 |
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