| Wellspan Ephrata Community Hospital-behavioral Health Unit Extended | |
|
169 Martin Ave Ephrata PA 17522-1734 | |
| (717) 738-6400 | |
| (717) 738-6735 |
| Full Name | Wellspan Ephrata Community Hospital-behavioral Health Unit Extended |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 169 Martin Ave, Ephrata, Pennsylvania |
| Authorized Official Name and Position | Tina Citro (VP & PRESIDENT) |
| Authorized Official Contact | 7177386407 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellspan Ephrata Community Hospital-behavioral Health Unit Extended 601 Memory Ln York PA 17402-2231 Ph: (717) 851-1405 | Wellspan Ephrata Community Hospital-behavioral Health Unit Extended 169 Martin Ave Ephrata PA 17522-1734 Ph: (717) 738-6400 |
| NPI Number | 1215452354 |
|---|---|
| Provider Enumeration Date | 08/10/2017 |
| Last Update Date | 10/16/2024 |
| Certification Date | 10/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215452354 | NPI | - | NPPES |
| 100746468 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 310301 (Pennsylvania) | Primary |
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Ech-psychiatry Wellspan Ephrata Community Hospital Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 169 Martin Ave, Ephrata, PA 17522 Phone: 717-738-2517 Fax: 717-733-9442 |