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12 St. Paul Drive Suite 100 Chambersburg PA 17201 | |
(717) 217-6720 | |
(717) 217-6953 |
Full Name | |
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Speciality | Clinic/Center |
Location | 12 St. Paul Drive, Chambersburg, Pennsylvania |
Authorized Official Name and Position | Erica Pyne (DIRECTOR) |
Authorized Official Contact | 7172176725 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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785 5th Ave Ste 3 Chambersburg PA 17201-4232 Ph: (717) 263-9555 | 12 St. Paul Drive Suite 100 Chambersburg PA 17201 Ph: (717) 217-6720 |
NPI Number | 1366411829 |
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Provider Enumeration Date | 03/16/2006 |
Last Update Date | 09/29/2022 |
Medicare PECOS PAC ID | 8022150564 |
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Medicare Enrollment ID | O20100122000132 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366411829 | NPI | - | NPPES |
0018305450001 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
261QA1903X | Clinic/center - Ambulatory Surgical | 11401501 (Pennsylvania) | Primary |
Chambersburg Gastroenterology Asso., Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 835 5th Ave, Chambersburg, PA 17201 Phone: 717-263-0629 Fax: 717-263-7105 | |
Fairway Medical Associates Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 144 S 8th St, Suite 111, Chambersburg, PA 17201 Phone: 717-264-6511 Fax: 717-264-1081 |