| |
31 S Dorcas St Lewistown PA 17044-2110 | |
(717) 447-1898 | |
(717) 447-1891 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 31 S Dorcas St, Lewistown, Pennsylvania |
Authorized Official Name and Position | Carl A Sizer (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 7243420126 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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63 Pitt St Sharon PA 16146-2102 Ph: (724) 342-3002 | 31 S Dorcas St Lewistown PA 17044-2110 Ph: (717) 447-1898 |
NPI Number | 1962880989 |
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Provider Enumeration Date | 05/11/2015 |
Last Update Date | 07/20/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962880989 | NPI | - | NPPES |
100757846 0116 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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