| |
101 W College Ave Rm C106 York PA 17401-5403 | |
(717) 801-4800 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 101 W College Ave Rm C106, York, 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) 801-4846 | 101 W College Ave Rm C106 York PA 17401-5403 Ph: (717) 801-4800 |
NPI Number | 1609621556 |
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Provider Enumeration Date | 04/23/2024 |
Last Update Date | 11/20/2024 |
Medicare PECOS PAC ID | 8022910207 |
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Medicare Enrollment ID | O20241106001820 |
Identifier | Type | State | Issuer |
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1609621556 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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