| Horizon Medical Corporation Pc | |
|
1721 N Main Ave Scranton PA 18508-1995 | |
| (570) 961-9947 | |
| (570) 341-5043 |
| Full Name | Horizon Medical Corporation Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1721 N Main Ave, Scranton, Pennsylvania |
| Authorized Official Name and Position | Lisa Wright (CREDENTIALING) |
| Authorized Official Contact | 5708761735 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Horizon Medical Corporation Pc 4 Kelly St Ste 4 Archbald PA 18403-1627 Ph: (570) 876-1735 | Horizon Medical Corporation Pc 1721 N Main Ave Scranton PA 18508-1995 Ph: (570) 961-9947 |
| NPI Number | 1336175595 |
|---|---|
| Provider Enumeration Date | 06/22/2006 |
| Last Update Date | 07/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336175595 | NPI | - | NPPES |
| 40158 | Other | PA | BLUE SHIELD GROUP NUMBER |
| 0017929090002 | Medicaid | PA | |
| 809779 | Other | PA | FIRST PRIORITY HEALTH GRO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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