Gaudenzia Lewisburg Outpatient | |
480 Hafer Rd Lewisburg PA 17837-7413 | |
(570) 524-3884 | |
(570) 768-4779 |
Full Name | Gaudenzia Lewisburg Outpatient |
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Speciality | Clinic/center |
Location | 480 Hafer Rd, Lewisburg, Pennsylvania |
Authorized Official Name and Position | Mike Williams (SR. CONTRACTING MANAGER) |
Authorized Official Contact | 4843383731 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Gaudenzia Lewisburg Outpatient 106 W Main St Norristown PA 19401-4716 Ph: (610) 239-9600 | Gaudenzia Lewisburg Outpatient 480 Hafer Rd Lewisburg PA 17837-7413 Ph: (570) 524-3884 |
NPI Number | 1487001749 |
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Provider Enumeration Date | 05/17/2016 |
Last Update Date | 02/16/2022 |
Identifier | Type | State | Issuer |
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1487001749 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 607058 (Pennsylvania) | Primary |
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