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255 W Spruce St Shamokin PA 17872-5811 | |
| (570) 644-5050 | |
| (570) 644-2578 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 255 W Spruce St, Shamokin, Pennsylvania |
| Authorized Official Name and Position | Wayne R Miller (OWNER) |
| Authorized Official Contact | 5706445050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
255 W Spruce St Shamokin PA 17872-5811 Ph: (570) 644-5050 | 255 W Spruce St Shamokin PA 17872-5811 Ph: (570) 644-5050 |
| NPI Number | 1497797195 |
|---|---|
| Provider Enumeration Date | 06/10/2006 |
| Last Update Date | 10/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497797195 | NPI | - | NPPES |
| 0012068790005 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | MD042431L (Pennsylvania) | Primary |
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Community Health Care Rural Health Clinic, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 550 W Walnut St, Shamokin, PA 17872 Phone: 570-644-2222 Fax: 570-648-4705 | |
Miller Donmoyer Family Health Center Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 255 W Spruce St, Shamokin, PA 17872 Phone: 570-644-5050 Fax: 570-644-2798 | |
Sudhir K. Khanna, M.d., P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 239 W Commerce St, Shamokin, PA 17872 Phone: 570-644-0178 Fax: 570-644-5198 | |