| Haven Center For Women's Health | |
|
24 Cree Dr Lock Haven PA 17745-2639 | |
| (570) 893-5043 | |
| (570) 893-5126 |
| Full Name | Haven Center For Women's Health |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 24 Cree Dr, Lock Haven, Pennsylvania |
| Authorized Official Name and Position | Tara P Richardson (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 6152213672 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Haven Center For Women's Health Po Box 689022 Franklin TN 37068-9022 Ph: (570) 893-5043 | Haven Center For Women's Health 24 Cree Dr Lock Haven PA 17745-2639 Ph: (570) 893-5043 |
| NPI Number | 1700202249 |
|---|---|
| Provider Enumeration Date | 03/07/2014 |
| Last Update Date | 04/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700202249 | NPI | - | NPPES |
| 1007550910020 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 122201 (Pennsylvania) | Primary |
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