| Hamilton Health Center-dental | |
|
110 S 17th St Harrisburg PA 17104-1123 | |
| (717) 230-3906 | |
| (717) 230-3914 |
| Full Name | Hamilton Health Center-dental |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 110 S 17th St, Harrisburg, Pennsylvania |
| Authorized Official Name and Position | Danita Henson (OFFICE MANAGER) |
| Authorized Official Contact | 7172303906 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hamilton Health Center-dental 110 S 17th St Harrisburg PA 17104-1123 Ph: (717) 230-3906 | Hamilton Health Center-dental 110 S 17th St Harrisburg PA 17104-1123 Ph: (717) 230-3906 |
| NPI Number | 1700056991 |
|---|---|
| Provider Enumeration Date | 03/04/2008 |
| Last Update Date | 08/30/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700056991 | NPI | - | NPPES |
| 1007480790008 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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