Open Arms Internal Medicine & Pediatrics, Pc | |
3155 Lycoming Creek Rd Williamsport PA 17701-1032 | |
(570) 244-1877 | |
Not Available |
Full Name | Open Arms Internal Medicine & Pediatrics, Pc |
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Speciality | Clinic/Center |
Location | 3155 Lycoming Creek Rd, Williamsport, Pennsylvania |
Authorized Official Name and Position | Russell Lewis Gombosi (OWNER) |
Authorized Official Contact | 5702441877 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Open Arms Internal Medicine & Pediatrics, Pc 5271 State Route 973 E Cogan Station PA 17728-8500 Ph: (570) 244-1877 | Open Arms Internal Medicine & Pediatrics, Pc 3155 Lycoming Creek Rd Williamsport PA 17701-1032 Ph: (570) 244-1877 |
NPI Number | 1154834927 |
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Provider Enumeration Date | 11/14/2017 |
Last Update Date | 11/14/2017 |
Medicare PECOS PAC ID | 4284995663 |
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Medicare Enrollment ID | O20180227001733 |
Identifier | Type | State | Issuer |
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1154834927 | NPI | - | NPPES |
1528078433 | Other | PA | INDIVIDUAL NPI |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | MD043621L (Pennsylvania) | Primary |
Provider Name | Russell L Gombosi |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1528078433 PECOS PAC ID: 3476541814 Enrollment ID: I20040504000814 |
Geisinger-hm Joint Venture, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1824 E 3rd St, Williamsport, PA 17701 Phone: 570-601-2200 Fax: 570-601-2202 | |