| Lewistown Community Health Center | |
|
106 Derry Heights Blvd Lewistown PA 17044-8604 | |
| (717) 447-0340 | |
| (717) 447-0344 |
| Full Name | Lewistown Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 106 Derry Heights Blvd, Lewistown, Pennsylvania |
| Authorized Official Name and Position | Carl A Sizer (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7243420126 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lewistown Community Health Center 63 Pitt St Sharon PA 16146-2102 Ph: (724) 342-3002 | Lewistown Community Health Center 106 Derry Heights Blvd Lewistown PA 17044-8604 Ph: (717) 447-0340 |
| NPI Number | 1043704513 |
|---|---|
| Provider Enumeration Date | 06/19/2018 |
| Last Update Date | 07/18/2022 |
| Medicare PECOS PAC ID | 9234046228 |
|---|---|
| Medicare Enrollment ID | O20180814003564 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043704513 | NPI | - | NPPES |
| 1007578460128 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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