| |
600 Maple Ave Ste 4, Honesdale, PA 18431-1436 | |
(570) 253-8177 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 600 Maple Ave Ste 4, Honesdale, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346000569 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | (* (Not Available)) | Secondary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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601 Park St, Honesdale, PA 18431-1445 Ph: (570) 253-8226 | 600 Maple Ave Ste 4, Honesdale, PA 18431-1436 Ph: (570) 253-8177 |