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1609 W. Pitt St. Jennerstown PA 15547 | |
(814) 629-5647 | |
(814) 629-5276 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 1609 W. Pitt St., Jennerstown, Pennsylvania |
Authorized Official Name and Position | Charlottte Lawrence (SECRETARY) |
Authorized Official Contact | 6159207000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1609 W. Pitt St. Jennerstown PA 15547 Ph: (814) 629-5647 | 1609 W. Pitt St. Jennerstown PA 15547 Ph: (814) 629-5647 |
NPI Number | 1790191948 |
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Provider Enumeration Date | 07/09/2014 |
Last Update Date | 10/10/2024 |
Identifier | Type | State | Issuer |
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1790191948 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |