| Family Health Center | |
|
83 Hillcrest Dr Suite 200 Punxsutawney PA 15767-2605 | |
| (814) 938-3550 | |
| (814) 938-3679 |
| Full Name | Family Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 83 Hillcrest Dr, Punxsutawney, Pennsylvania |
| Authorized Official Name and Position | Phillip John States (OWNER/PROPRIETOR) |
| Authorized Official Contact | 8149383550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Health Center 83 Hillcrest Dr Suite 200 Punxsutawney PA 15767-2605 Ph: (814) 938-3550 | Family Health Center 83 Hillcrest Dr Suite 200 Punxsutawney PA 15767-2605 Ph: (814) 938-3550 |
| NPI Number | 1295005361 |
|---|---|
| Provider Enumeration Date | 01/06/2012 |
| Last Update Date | 04/28/2015 |
| Medicare PECOS PAC ID | 1355660226 |
|---|---|
| Medicare Enrollment ID | O20151111000169 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295005361 | NPI | - | NPPES |
| 1019257860003 | Medicaid | PA | |
| 393918 | Other | RHC CCN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 393918 (Pennsylvania) | Primary |
| Provider Name | Phillip J States |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093791246 PECOS PAC ID: 0345213245 Enrollment ID: I20040818000853 |
| Provider Name | Nicole Leigh Pomeroy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003305178 PECOS PAC ID: 4284979071 Enrollment ID: I20200116002751 |
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