Connectionspa Llc | |
1100 S Cameron St Ste 2 Harrisburg PA 17104-2547 | |
(520) 301-2400 | |
Not Available |
Full Name | Connectionspa Llc |
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Speciality | Clinic/Center |
Location | 1100 S Cameron St Ste 2, Harrisburg, Pennsylvania |
Authorized Official Name and Position | Cheryl Boyle (DIRECTOR, REV CYCLE MANAGEMENT) |
Authorized Official Contact | 7376006039 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Connectionspa Llc 2390 E Camelback Rd Ste 400 Phoenix AZ 85016-3479 Ph: () - | Connectionspa Llc 1100 S Cameron St Ste 2 Harrisburg PA 17104-2547 Ph: (520) 301-2400 |
NPI Number | 1134969082 |
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Provider Enumeration Date | 05/29/2024 |
Last Update Date | 12/05/2024 |
Medicare PECOS PAC ID | 3971038373 |
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Medicare Enrollment ID | O20241121003906 |
Identifier | Type | State | Issuer |
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1134969082 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
Provider Name | Amanda E Hershey |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003249079 PECOS PAC ID: 7113153511 Enrollment ID: I20131113000581 |
Provider Name | Holly Dubois |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1518086511 PECOS PAC ID: 4880773092 Enrollment ID: I20241122001181 |
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