| |
420 S Jackson St Pottsville PA 17901-3625 | |
(570) 621-5000 | |
(570) 622-8221 |
Full Name | |
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Speciality | Psychiatry & Neurology |
Location | 420 S Jackson St, Pottsville, Pennsylvania |
Authorized Official Name and Position | John E. Simodejka (PRESIDENT AND CEO) |
Authorized Official Contact | 5706215111 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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420 S Jackson St Pottsville PA 17901-3625 Ph: (570) 621-5000 | 420 S Jackson St Pottsville PA 17901-3625 Ph: (570) 621-5000 |
NPI Number | 1982606802 |
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Provider Enumeration Date | 08/11/2005 |
Last Update Date | 07/16/2013 |
Medicare PECOS PAC ID | 4183525959 |
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Medicare Enrollment ID | O20040408001006 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982606802 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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