| 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. |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
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