| Great Cove Integrative Medicine Llc | |
|
124 S 2nd St Mc Connellsburg PA 17233-1446 | |
| (717) 485-4131 | |
| (717) 485-3394 |
| Full Name | Great Cove Integrative Medicine Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 124 S 2nd St, Mc Connellsburg, Pennsylvania |
| Authorized Official Name and Position | Sharon Eunice Martin (OWNER) |
| Authorized Official Contact | 7174854131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Cove Integrative Medicine Llc 124 S 2nd St Mc Connellsburg PA 17233-1446 Ph: (717) 485-4131 | Great Cove Integrative Medicine Llc 124 S 2nd St Mc Connellsburg PA 17233-1446 Ph: (717) 485-4131 |
| NPI Number | 1710015235 |
|---|---|
| Provider Enumeration Date | 02/28/2007 |
| Last Update Date | 04/20/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710015235 | NPI | - | NPPES |
| 0017504800005 | Medicaid | PA | |
| 133213 | Other | PA | HIGHMARK BLUE SHIELD |
| 5008657 | Other | PA | CAPITAL BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD067389L (Pennsylvania) | Primary |
Gaudenzia Fulton Outpatient Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Lincoln Way W, Mc Connellsburg, PA 17233 Phone: 717-325-4855 Fax: 717-325-0444 | |
Fulton County Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 214 Peach Orchard Rd, Mc Connellsburg, PA 17233 Phone: 717-485-3155 | |
Fulton County Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 214 Peach Orchard Rd, Mc Connellsburg, PA 17233 Phone: 717-485-3155 |