| Haven Medical Center | |
|
208 E Church St Lock Haven PA 17745-2025 | |
| (570) 748-0590 | |
| (570) 748-0596 |
| Full Name | Haven Medical Center |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 208 E Church St, 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 Medical Center Po Box 689022 Franklin TN 37068-9022 Ph: (615) 465-7488 | Haven Medical Center 208 E Church St Lock Haven PA 17745-2025 Ph: (570) 748-0590 |
| NPI Number | 1871839688 |
|---|---|
| Provider Enumeration Date | 12/26/2012 |
| Last Update Date | 04/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871839688 | NPI | - | NPPES |
| 1007550910020 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 122201 (Pennsylvania) | Primary |
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Keystone Gi Consultants Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1019 Oriole Cir S, Lock Haven, PA 17745 Phone: 570-660-1203 | |
Geisinger Jersey Shore Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 529 High St, Lock Haven, PA 17745 Phone: 570-748-8038 Fax: 570-748-0323 |