| Omni Health Services, Inc. | |
|
301 Mulberry St Scranton PA 18503-1230 | |
| (570) 507-9272 | |
| (570) 880-7933 |
| Full Name | Omni Health Services, Inc. |
|---|---|
| Speciality | Peer Specialist |
| Location | 301 Mulberry St, Scranton, Pennsylvania |
| Authorized Official Name and Position | Michael M Thevar (PRESIDENT) |
| Authorized Official Contact | 2159972000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Omni Health Services, Inc. Po Box 454 Montgomeryville PA 18936-0454 Ph: (215) 997-2000 | Omni Health Services, Inc. 301 Mulberry St Scranton PA 18503-1230 Ph: (570) 507-9272 |
| NPI Number | 1174094502 |
|---|---|
| Provider Enumeration Date | 12/11/2018 |
| Last Update Date | 11/29/2021 |
| Certification Date | 11/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174094502 | NPI | - | NPPES |
| 1020016630010 | Medicaid | PA |
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