| Central Potter Health Center | |
|
71 Elk St Coudersport PA 16915-9601 | |
| (814) 274-5577 | |
| (814) 274-8709 |
| Full Name | Central Potter Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 71 Elk St, Coudersport, Pennsylvania |
| Authorized Official Name and Position | Janie Hilfiger (PRESIDENT) |
| Authorized Official Contact | 5707230100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Potter Health Center 71 Elk St Coudersport PA 16915-9601 Ph: (814) 274-5577 | Central Potter Health Center 71 Elk St Coudersport PA 16915-9601 Ph: (814) 274-5577 |
| NPI Number | 1033283437 |
|---|---|
| Provider Enumeration Date | 11/17/2006 |
| Last Update Date | 11/06/2023 |
| Medicare PECOS PAC ID | 3779487475 |
|---|---|
| Medicare Enrollment ID | O20100113000734 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033283437 | NPI | - | NPPES |
| 1000011270126 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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