| Pike Countyfamily Health Center | |
|
750 Route 739 Hawley PA 18428-6071 | |
| (570) 775-7100 | |
| Not Available |
| Full Name | Pike Countyfamily Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 750 Route 739, Hawley, Pennsylvania |
| Authorized Official Name and Position | Frederick Jackson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5702538450 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pike Countyfamily Health Center 601 Park St Honesdale PA 18431-1445 Ph: (570) 253-8101 | Pike Countyfamily Health Center 750 Route 739 Hawley PA 18428-6071 Ph: (570) 775-7100 |
| NPI Number | 1477736254 |
|---|---|
| Provider Enumeration Date | 12/14/2007 |
| Last Update Date | 12/23/2008 |
| Medicare PECOS PAC ID | 3072598937 |
|---|---|
| Medicare Enrollment ID | O20080418000449 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477736254 | NPI | - | NPPES |
| 1007765560005 | Medicaid | PA |
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