| |
1786c Columbia Ave Columbia PA 17512-9508 | |
(717) 684-3663 | |
Not Available |
Full Name | |
---|---|
Speciality | Family Medicine |
Location | 1786c Columbia Ave, Columbia, Pennsylvania |
Authorized Official Name and Position | Dennis Hertz (PRACTICE ADMINISTRATOR) |
Authorized Official Contact | 7172918078 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
1786c Columbia Ave Columbia PA 17512-9508 Ph: (717) 684-3663 | 1786c Columbia Ave Columbia PA 17512-9508 Ph: (717) 684-3663 |
NPI Number | 1346625688 |
---|---|
Provider Enumeration Date | 07/28/2015 |
Last Update Date | 07/28/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346625688 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
River Of Life Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 291 S 4th St, Columbia, PA 17512 Phone: 717-684-9000 | |