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103 West Ave Wellsboro Laurel Health Center Wellsboro PA 16901-1358 | |
(570) 724-1010 | |
(570) 724-3970 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 103 West Ave, Wellsboro, Pennsylvania |
Authorized Official Name and Position | Ronald Meryl Gilbert (CFO) |
Authorized Official Contact | 5706621955 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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7 Water St Wellsboro PA 16901-1126 Ph: (570) 662-1955 | 103 West Ave Wellsboro Laurel Health Center Wellsboro PA 16901-1358 Ph: (570) 724-1010 |
NPI Number | 1043392020 |
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Provider Enumeration Date | 10/19/2006 |
Last Update Date | 12/06/2018 |
Identifier | Type | State | Issuer |
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1043392020 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
North Country Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15 Meade St, Wellsboro, PA 16901 Phone: 570-724-3744 Fax: 570-724-2459 | |