| |
1701 Cornwall Rd Ste 101 Lebanon PA 17042-7480 | |
(717) 675-1788 | |
(717) 675-1800 |
Full Name | |
---|---|
Speciality | Clinic/center - Urgent Care |
Location | 1701 Cornwall Rd Ste 101, Lebanon, Pennsylvania |
Authorized Official Name and Position | Denise Kennedy (VICE PRESIDENT FINANCIAL SERVICES) |
Authorized Official Contact | 7175445010 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
1701 Cornwall Rd Ste 101 Lebanon PA 17042-7480 Ph: (717) 675-1788 | 1701 Cornwall Rd Ste 101 Lebanon PA 17042-7480 Ph: (717) 675-1788 |
NPI Number | 1124402474 |
---|---|
Provider Enumeration Date | 07/16/2015 |
Last Update Date | 11/16/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124402474 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
Agape Family Medicine, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Cumberland St, Lebanon, PA 17042 Phone: 717-270-0335 Fax: 717-270-9740 | |
Lebanon Family Health Service Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 615 Cumberland St, Lebanon, PA 17042 Phone: 717-273-6741 Fax: 717-273-6337 |