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160 Hamilton St Allentown PA 18101-1948 | |
(610) 868-5189 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 160 Hamilton St, Allentown, Pennsylvania |
Authorized Official Name and Position | Paula Haddad (BILLING) |
Authorized Official Contact | 6108207605 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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635 E Broad St Bethlehem PA 18018-6332 Ph: (610) 820-7605 | 160 Hamilton St Allentown PA 18101-1948 Ph: (610) 868-5189 |
NPI Number | 1699418509 |
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Provider Enumeration Date | 04/18/2022 |
Last Update Date | 11/29/2022 |
Medicare PECOS PAC ID | 2961537352 |
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Medicare Enrollment ID | O20230126003036 |
Identifier | Type | State | Issuer |
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1699418509 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |