| Tioga County Dept Of Human Services | |
|
1873 Shumway Hill Rd Wellsboro PA 16901-6840 | |
| (570) 724-5766 | |
| (570) 724-6757 |
| Full Name | Tioga County Dept Of Human Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1873 Shumway Hill Rd, Wellsboro, Pennsylvania |
| Authorized Official Name and Position | Samuel Greene (ADMINISTRATOR) |
| Authorized Official Contact | 57072455766 |
| 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 1873 Shumway Hill Rd Wellsboro PA 16901-6840 Ph: (570) 724-5766 |
| NPI Number | 1578688974 |
|---|---|
| Provider Enumeration Date | 03/21/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578688974 | NPI | - | NPPES |
| 1000000400023 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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