| Wellspan Ephrata Community Hospital Inpatient Behavioral Health Unit | |
|
169 Martin Ave Ephrata PA 17522-1734 | |
| (717) 733-0311 | |
| Not Available |
| Full Name | Wellspan Ephrata Community Hospital Inpatient Behavioral Health Unit |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 169 Martin Ave, Ephrata, Pennsylvania |
| Authorized Official Name and Position | Tina Citro (VP & PRESIDENT) |
| Authorized Official Contact | 7177386407 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellspan Ephrata Community Hospital Inpatient Behavioral Health Unit 601 Memory Ln York PA 17402-2231 Ph: (717) 851-1405 | Wellspan Ephrata Community Hospital Inpatient Behavioral Health Unit 169 Martin Ave Ephrata PA 17522-1734 Ph: (717) 733-0311 |
| NPI Number | 1588750616 |
|---|---|
| Provider Enumeration Date | 10/05/2006 |
| Last Update Date | 10/16/2024 |
| Certification Date | 10/16/2024 |
| Medicare PECOS PAC ID | 4981514445 |
|---|---|
| Medicare Enrollment ID | O20071212000268 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588750616 | NPI | - | NPPES |
| 1007464680064 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (Pennsylvania) | Primary |
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