| |
1905 Market Square Blvd Waynesboro PA 17268-3811 | |
(717) 762-6300 | |
(717) 762-1831 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1905 Market Square Blvd, Waynesboro, Pennsylvania |
Authorized Official Name and Position | Joanne Cochran (PRESIDENT & CEO) |
Authorized Official Contact | 7177097922 |
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 | 1905 Market Square Blvd Waynesboro PA 17268-3811 Ph: (717) 762-6300 |
NPI Number | 1033773155 |
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Provider Enumeration Date | 04/24/2019 |
Last Update Date | 05/16/2024 |
Medicare PECOS PAC ID | 5496663312 |
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Medicare Enrollment ID | O20190510001613 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033773155 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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