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820 5th Ave Chambersburg PA 17201-4219 | |
(717) 263-4313 | |
(707) 263-0500 |
Full Name | |
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Speciality | Clinic/Center |
Location | 820 5th Ave, Chambersburg, Pennsylvania |
Authorized Official Name and Position | Joanne Cochran (PRESIDENT/CEO) |
Authorized Official Contact | 7177097906 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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111 Chambers Hill Dr Ste 200 Chambersburg PA 17201-7304 Ph: (717) 709-7922 | 820 5th Ave Chambersburg PA 17201-4219 Ph: (717) 263-4313 |
NPI Number | 1538166905 |
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Provider Enumeration Date | 06/30/2005 |
Last Update Date | 05/16/2024 |
Medicare PECOS PAC ID | 5496663312 |
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Medicare Enrollment ID | O20030108000029 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538166905 | NPI | - | NPPES |
707916 | Other | PA | MEDICARE |
1007762330005 | Medicaid | PA | |
CL2644 | Other | PA | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 970589 (Pennsylvania) | Primary |
Chambersburg Gastroenterology Asso., Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 835 5th Ave, Chambersburg, PA 17201 Phone: 717-263-0629 Fax: 717-263-7105 | |
Fairway Medical Associates Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 144 S 8th St, Suite 111, Chambersburg, PA 17201 Phone: 717-264-6511 Fax: 717-264-1081 |