| Nuestra Clinica Partial Hospitalization Program | |
|
453 S Lime St Suite A Lancaster PA 17602-3649 | |
| (717) 431-1411 | |
| (717) 295-7762 |
| Full Name | Nuestra Clinica Partial Hospitalization Program |
|---|---|
| Speciality | Clinic/Center |
| Location | 453 S Lime St, Lancaster, Pennsylvania |
| Authorized Official Name and Position | Carlos Graupera (CEO) |
| Authorized Official Contact | 7175093712 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nuestra Clinica Partial Hospitalization Program 545 Pershing Ave Lancaster PA 17602-4369 Ph: (717) 293-4150 | Nuestra Clinica Partial Hospitalization Program 453 S Lime St Suite A Lancaster PA 17602-3649 Ph: (717) 431-1411 |
| NPI Number | 1194088351 |
|---|---|
| Provider Enumeration Date | 06/21/2012 |
| Last Update Date | 10/11/2012 |
| Medicare PECOS PAC ID | 9436197464 |
|---|---|
| Medicare Enrollment ID | O20050420001075 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194088351 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 329680 (Pennsylvania) | Primary |
| Provider Name | Michael T Steelman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033183454 PECOS PAC ID: 0042308298 Enrollment ID: I20071121000477 |
| Provider Name | Sujana Reddy Kurri Yerram |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497856561 PECOS PAC ID: 2466541388 Enrollment ID: I20071130000003 |
| Provider Name | James J Nocks |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548203425 PECOS PAC ID: 0345318325 Enrollment ID: I20081003000293 |
| Provider Name | Kamlesh R Acharya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093936437 PECOS PAC ID: 5193817492 Enrollment ID: I20090709000067 |
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