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1600 E High St Pottstown PA 19464-5008 | |
| (610) 327-7000 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1600 E High St, Pottstown, Pennsylvania |
| Authorized Official Name and Position | Gary Newsome (SENIOR VP, GROUP OPERATIONS) |
| Authorized Official Contact | 8883739600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 501144 Saint Louis MO 63150-1144 Ph: () - | 1600 E High St Pottstown PA 19464-5008 Ph: (610) 327-7000 |
| NPI Number | 1427021625 |
|---|---|
| Provider Enumeration Date | 02/08/2006 |
| Last Update Date | 11/27/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427021625 | NPI | - | NPPES |
| 100751744006 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 911550 (Pennsylvania) | Primary |
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