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369 Locust St First Floor Columbia PA 17512-1383 | |
(717) 342-2577 | |
(844) 223-4288 |
Full Name | |
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Speciality | Clinic/Center |
Location | 369 Locust St, Columbia, Pennsylvania |
Authorized Official Name and Position | Jennifer Englerth (CHIEF EXECUTIVE OFFICER/PRESIDENT) |
Authorized Official Contact | 7178014804 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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116 S George St Suite 301 York PA 17401-1474 Ph: (717) 846-5846 | 369 Locust St First Floor Columbia PA 17512-1383 Ph: (717) 342-2577 |
NPI Number | 1285188466 |
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Provider Enumeration Date | 08/05/2016 |
Last Update Date | 11/20/2024 |
Medicare PECOS PAC ID | 8022910207 |
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Medicare Enrollment ID | O20161115001730 |
Identifier | Type | State | Issuer |
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1285188466 | NPI | - | NPPES |
1007548530023 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (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 | |