| Fountain Health Inc. | |
|
3554 Hulmeville Rd Ste 106 Bensalem PA 19020-4366 | |
| (215) 639-3185 | |
| (215) 639-3184 |
| Full Name | Fountain Health Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3554 Hulmeville Rd Ste 106, Bensalem, Pennsylvania |
| Authorized Official Name and Position | Emmanuel Ugwuoke (PRESIDENT) |
| Authorized Official Contact | 2672666820 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fountain Health Inc. 3554 Hulmeville Rd Ste 106 Bensalem PA 19020-4366 Ph: (215) 639-3185 | Fountain Health Inc. 3554 Hulmeville Rd Ste 106 Bensalem PA 19020-4366 Ph: (215) 639-3185 |
| NPI Number | 1053631689 |
|---|---|
| Provider Enumeration Date | 06/05/2010 |
| Last Update Date | 07/12/2024 |
| Certification Date | 07/12/2024 |
| Medicare PECOS PAC ID | 4385999101 |
|---|---|
| Medicare Enrollment ID | O20180620000297 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053631689 | NPI | - | NPPES |
| 1024539660001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Secondary |
| Provider Name | Emmanuel A Ugwuoke |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124204581 PECOS PAC ID: 1658567342 Enrollment ID: I20101119000928 |
| Provider Name | Crystal A Amoah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053856138 PECOS PAC ID: 6507142320 Enrollment ID: I20170411000339 |
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