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895 East Main Street Ephrata PA 17522-2545 | |
(717) 721-4585 | |
(717) 721-4597 |
Full Name | |
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Speciality | Clinic/Center |
Location | 895 East Main Street, Ephrata, Pennsylvania |
Authorized Official Name and Position | Denise Kennedy (VICE PRESIDENT FINANCIAL SERVICES) |
Authorized Official Contact | 7175445010 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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895 East Main Street Ephrata PA 17522-2545 Ph: (717) 721-4585 | 895 East Main Street Ephrata PA 17522-2545 Ph: (717) 721-4585 |
NPI Number | 1295000719 |
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Provider Enumeration Date | 03/16/2012 |
Last Update Date | 11/16/2020 |
Medicare PECOS PAC ID | 0941103683 |
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Medicare Enrollment ID | O20190118001307 |
Identifier | Type | State | Issuer |
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1295000719 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |