| Tioga County Dept Of Human Services | |
|
179 Main St. Osceola PA 16942 | |
| (800) 242-5766 | |
| (570) 662-7726 |
| Full Name | Tioga County Dept Of Human Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 179 Main St., Osceola, Pennsylvania |
| Authorized Official Name and Position | Samuel Greene (ADMINISTRATOR) |
| Authorized Official Contact | 5707245766 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tioga County Dept Of Human Services 1873 Shumway Hill Rd Wellsboro PA 16901-6840 Ph: (570) 724-5766 | Tioga County Dept Of Human Services 179 Main St. Osceola PA 16942 Ph: (800) 242-5766 |
| NPI Number | 1275658098 |
|---|---|
| Provider Enumeration Date | 03/20/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275658098 | NPI | - | NPPES |
| 1000000400040 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 597025 (Pennsylvania) | Primary |
Tioga County Dept Of Human Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 167 Main Street, Osceola, PA 16942 Phone: 570-662-7600 Fax: 570-662-7726 | |
Tioga County Dept Of Human Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 179 Main St, Osceola, PA 16942 Phone: 800-242-5766 Fax: 570-662-7726 |