Nepa Community Health Care | |
498 S Main St Ste D Montrose PA 18801-1317 | |
(570) 278-7500 | |
(570) 278-0707 |
Full Name | Nepa Community Health Care |
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Speciality | Clinic/Center |
Location | 498 S Main St Ste D, Montrose, Pennsylvania |
Authorized Official Name and Position | Kristen Follert (CEO) |
Authorized Official Contact | 5702785157 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Nepa Community Health Care 498 S Main St Ste D Montrose PA 18801-1317 Ph: (570) 278-7500 | Nepa Community Health Care 498 S Main St Ste D Montrose PA 18801-1317 Ph: (570) 278-7500 |
NPI Number | 1619352978 |
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Provider Enumeration Date | 07/28/2015 |
Last Update Date | 07/05/2023 |
Medicare PECOS PAC ID | 8921091745 |
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Medicare Enrollment ID | O20040407000467 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619352978 | NPI | - | NPPES |
1007701310044 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Provider Name | Marie A Williams |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093706780 PECOS PAC ID: 3476588807 Enrollment ID: I20150122000668 |
Provider Name | Allison Bunnell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861800013 PECOS PAC ID: 9537389259 Enrollment ID: I20171010003657 |
Provider Name | Emily Geras |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376069252 PECOS PAC ID: 4789950536 Enrollment ID: I20171023000381 |
Provider Name | Lisa Marie Daly |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841631751 PECOS PAC ID: 6002100690 Enrollment ID: I20171024003604 |
Provider Name | William David Iveson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205232709 PECOS PAC ID: 7911160411 Enrollment ID: I20171220001171 |
Provider Name | Amanda Marie Kubilus |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497264618 PECOS PAC ID: 2567724206 Enrollment ID: I20180316002372 |
Provider Name | Dylan G Kilmer |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679198220 PECOS PAC ID: 8628489820 Enrollment ID: I20201119000300 |
Provider Name | Carla Rae Spering |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518549096 PECOS PAC ID: 3779986815 Enrollment ID: I20210727001047 |
Provider Name | Barbara B Mcnamara |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902127590 PECOS PAC ID: 7113173154 Enrollment ID: I20210813002421 |
Provider Name | Dillon J Yeager |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780357889 PECOS PAC ID: 6608272349 Enrollment ID: I20210907000178 |
Provider Name | Heidi D Dieck |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376066670 PECOS PAC ID: 5597024349 Enrollment ID: I20231130002185 |
Provider Name | Tracy Elaine Jensen |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1144096751 PECOS PAC ID: 5193168367 Enrollment ID: I20240206000091 |
Provider Name | Danielle Eileen Connell |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1093401523 PECOS PAC ID: 4587019955 Enrollment ID: I20240419000872 |