Lebanon Family Health Service Inc. | |
615 Cumberland St Lebanon PA 17042-5233 | |
(717) 273-6741 | |
(717) 273-6337 |
Full Name | Lebanon Family Health Service Inc. |
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Speciality | Clinic/center |
Location | 615 Cumberland St, Lebanon, Pennsylvania |
Authorized Official Name and Position | Donna Williams (VICE PRESIDENT OPERATIONS) |
Authorized Official Contact | 7172736741 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lebanon Family Health Service Inc. 615 Cumberland St Lebanon PA 17042-5233 Ph: (717) 273-6741 | Lebanon Family Health Service Inc. 615 Cumberland St Lebanon PA 17042-5233 Ph: (717) 273-6741 |
NPI Number | 1255428488 |
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Provider Enumeration Date | 10/09/2006 |
Last Update Date | 02/22/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255428488 | NPI | - | NPPES |
02821900 | Other | PA | CAPITAL BLUE CROSS |
656355 | Other | PA | HIGHMARK BLUE SHIELD |
0007146120003 | Medicaid | PA | |
1503082 | Other | PA | GATEWAY HEALTH PLAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (Pennsylvania) | 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 | |