Lemoyne Primary Care Pc | |
797 Poplar Church Rd Camp Hill PA 17011-2314 | |
(717) 695-9177 | |
Not Available |
Full Name | Lemoyne Primary Care Pc |
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Speciality | Clinic/Center |
Location | 797 Poplar Church Rd, Camp Hill, Pennsylvania |
Authorized Official Name and Position | Jane K Conroy (OWNER) |
Authorized Official Contact | 7179033228 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Lemoyne Primary Care Pc 797 Poplar Church Rd Camp Hill PA 17011-2314 Ph: (717) 695-9177 | Lemoyne Primary Care Pc 797 Poplar Church Rd Camp Hill PA 17011-2314 Ph: (717) 695-9177 |
NPI Number | 1861871352 |
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Provider Enumeration Date | 05/29/2015 |
Last Update Date | 06/15/2016 |
Medicare PECOS PAC ID | 0143532614 |
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Medicare Enrollment ID | O20150713000482 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861871352 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | OS004743L (Pennsylvania) | Primary |
Provider Name | Jane K Conroy |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1679542997 PECOS PAC ID: 9133251846 Enrollment ID: I20100715000806 |
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