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2626 N 3rd St Harrisburg PA 17110-2044 | |
| (800) 243-1455 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 2626 N 3rd St, Harrisburg, Pennsylvania |
| Authorized Official Name and Position | Donald Mckenna (PRESIDENT) |
| Authorized Official Contact | 7175313979 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 858 Mca410 Hershey PA 17033-0858 Ph: (717) 531-1159 | 2626 N 3rd St Harrisburg PA 17110-2044 Ph: (800) 243-1455 |
| NPI Number | 1700851425 |
|---|---|
| Provider Enumeration Date | 02/17/2006 |
| Last Update Date | 01/22/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700851425 | NPI | - | NPPES |
| 1007452910362 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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