Clarvida | |
16 South Centre Street Pottsville PA 17901-2810 | |
(570) 628-5234 | |
(570) 628-9051 |
Full Name | Clarvida |
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Speciality | Community/behavioral Health |
Location | 16 South Centre Street, Pottsville, Pennsylvania |
Authorized Official Name and Position | Tim Sohosky (COO) |
Authorized Official Contact | 5706285234 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Clarvida 16 S. Centre St. Pottsville PA 17901 Ph: (570) 628-5234 | Clarvida 16 South Centre Street Pottsville PA 17901-2810 Ph: (570) 628-5234 |
NPI Number | 1124100235 |
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Provider Enumeration Date | 10/19/2006 |
Last Update Date | 09/17/2024 |
Certification Date | 09/17/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124100235 | NPI | - | NPPES |
1000017170545 | Medicaid | PA |
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