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240 Main St Ste A Denver PA 17517-1623 | |
(717) 299-6371 | |
(717) 947-3695 |
Full Name | |
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Speciality | Clinic/Center |
Location | 240 Main St Ste A, Denver, Pennsylvania |
Authorized Official Name and Position | Alisa Jones (PRESIDENT AND CEO) |
Authorized Official Contact | 7179451551 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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304 N Water St Lancaster PA 17603-3374 Ph: (717) 299-6372 | 240 Main St Ste A Denver PA 17517-1623 Ph: (717) 299-6371 |
NPI Number | 1578024196 |
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Provider Enumeration Date | 03/27/2019 |
Last Update Date | 07/15/2024 |
Medicare PECOS PAC ID | 8123914322 |
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Medicare Enrollment ID | O20190716002896 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578024196 | NPI | - | NPPES |
1007614190011 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |