Full Name | |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 100 Penn St, Hanover, Pennsylvania |
Authorized Official Name and Position | Marilyn A. Olejnik (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 7176373711 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
300 Highland Ave Hanover PA 17331-2297 Ph: (717) 633-3511 | 100 Penn St Hanover PA 17331-1956 Ph: (717) 632-3220 |
NPI Number | 1396887634 |
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Provider Enumeration Date | 02/13/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396887634 | NPI | - | NPPES |
PENDING | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Michael L. Peck, D.o., Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3130 Grandview Rd, Hanover, PA 17331 Phone: 717-637-0839 Fax: 717-637-9314 | |
Quad/med, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 240 Kindig Lane, Plant 5, Hanover, PA 17331 Phone: 414-566-4000 | |