| Lmcms | |
|
850 W Lancaster Ave Bryn Mawr PA 19010-3224 | |
| (610) 520-1510 | |
| (510) 527-1517 |
| Full Name | Lmcms |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 850 W Lancaster Ave, Bryn Mawr, Pennsylvania |
| Authorized Official Name and Position | Brian Matthew Rhodes (CEO) |
| Authorized Official Contact | 2159510300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lmcms 4700 Wissahickon Ave Philadelphia PA 19144-4248 Ph: (215) 951-0300 | Lmcms 850 W Lancaster Ave Bryn Mawr PA 19010-3224 Ph: (610) 520-1510 |
| NPI Number | 1689709495 |
|---|---|
| Provider Enumeration Date | 02/22/2007 |
| Last Update Date | 06/17/2024 |
| Certification Date | 06/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689709495 | NPI | - | NPPES |
| 1000017080419 | Medicaid | PA | |
| 105247000 | Other | PA | PA MAG |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1000017080419 (Pennsylvania) | Primary |
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