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1230 High St Hanover PA 17331-1127 | |
(717) 632-9052 | |
(855) 332-9945 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1230 High St, Hanover, 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 | 1230 High St Hanover PA 17331-1127 Ph: (717) 632-9052 |
NPI Number | 1336203017 |
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Provider Enumeration Date | 12/20/2006 |
Last Update Date | 09/08/2022 |
Medicare PECOS PAC ID | 8022910207 |
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Medicare Enrollment ID | O20040204001033 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336203017 | NPI | - | NPPES |
1145775 | Other | PA | AMERIHEALTH |
1007548530020 | Medicaid | PA | |
1519236 | Other | HIGHMARK WHOLECARE | |
BL65 | Other | PA | CAREFIRST |
582J | Other | PA | UPMC |
50047911 | Other | PA | CBC-KEYSTONE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Pennsylvania) | Primary |
Michael L. Peck, D.o., Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3130 Grandview Rd, Hanover, PA 17331 Phone: 717-637-0839 Fax: 717-637-9314 | |
Quad/med, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 240 Kindig Lane, Plant 5, Hanover, PA 17331 Phone: 414-566-4000 | |