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177 Erie Blvd Susquehanna PA 18847-2791 | |
(570) 853-3135 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 177 Erie Blvd, Susquehanna, Pennsylvania |
Authorized Official Name and Position | Sara Francis Adornato (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 5708533135 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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2872 Turnpike St Susquehanna PA 18847-2771 Ph: (570) 853-3135 | 177 Erie Blvd Susquehanna PA 18847-2791 Ph: (570) 853-3135 |
NPI Number | 1962680256 |
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Provider Enumeration Date | 02/08/2008 |
Last Update Date | 10/28/2021 |
Medicare PECOS PAC ID | 1355318635 |
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Medicare Enrollment ID | O20070404000618 |
Identifier | Type | State | Issuer |
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1962680256 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |