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1275 York Rd Suite 17 Gettysburg PA 17325-7565 | |
(717) 337-9400 | |
(855) 838-3399 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1275 York Rd, Gettysburg, 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 | 1275 York Rd Suite 17 Gettysburg PA 17325-7565 Ph: (717) 337-9400 |
NPI Number | 1144469123 |
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Provider Enumeration Date | 02/13/2009 |
Last Update Date | 11/20/2024 |
Medicare PECOS PAC ID | 8022910207 |
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Medicare Enrollment ID | O20091217000612 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144469123 | NPI | - | NPPES |
50083863 | Other | PA | CAPITAL BLUE CROSS |
000003926 | Other | PA | HIGHMARK BLUE SHIELD |
1007548530021 | Medicaid | PA | |
1579482 | Other | HIGHMARK WHOLECARE | |
580J | Other | PA | UPMC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Vanilla Management Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 Expedition Trl, Suite 102, Gettysburg, PA 17325 Phone: 717-515-9652 | |
Gettysburg College Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 N Washington St, Gettysburg, PA 17325 Phone: 717-337-6970 Fax: 717-337-6978 | |
Gettysburg Family Practice Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 524 S Washington St, Gettysburg, PA 17325 Phone: 717-334-2183 Fax: 717-334-5246 |