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300 Willow St Lebanon PA 17046-4871 | |
(717) 356-2222 | |
(855) 717-5644 |
Full Name | |
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Speciality | Clinic/Center |
Location | 300 Willow St, Lebanon, Pennsylvania |
Authorized Official Name and Position | Jennifer Englerth (CEO/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 Ste 301 York PA 17401-1443 Ph: (717) 846-5846 | 300 Willow St Lebanon PA 17046-4871 Ph: (717) 356-2222 |
NPI Number | 1477101822 |
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Provider Enumeration Date | 08/29/2019 |
Last Update Date | 09/08/2022 |
Medicare PECOS PAC ID | 8022910207 |
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Medicare Enrollment ID | O20200121002170 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477101822 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Agape Family Medicine, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Cumberland St, Lebanon, PA 17042 Phone: 717-270-0335 Fax: 717-270-9740 | |
Lebanon Family Health Service Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 615 Cumberland St, Lebanon, PA 17042 Phone: 717-273-6741 Fax: 717-273-6337 |