| |
1600 E High St Pottstown PA 19464-5008 | |
(610) 327-7000 | |
Not Available |
Full Name | |
---|---|
Speciality | Clinic/center - Ambulatory Surgical |
Location | 1600 E High St, Pottstown, Pennsylvania |
Authorized Official Name and Position | Laurie Holtsford (AUTHORIZED OFFICIAL) |
Authorized Official Contact | 6154657000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 501144 Saint Louis MO 63150-0001 Ph: (610) 327-7000 | 1600 E High St Pottstown PA 19464-5008 Ph: (610) 327-7000 |
NPI Number | 1952516684 |
---|---|
Provider Enumeration Date | 05/14/2007 |
Last Update Date | 07/10/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952516684 | NPI | - | NPPES |
1007517440008 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 163201 (Pennsylvania) | Secondary |
261QA1903X | Clinic/center - Ambulatory Surgical | 163201 (Pennsylvania) | Primary |
Pottstown Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 545 E High St, Pottstown, PA 19464 Phone: 610-327-1785 Fax: 610-327-1414 | |
Pennsylvania Medical Professionals Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1600 E High St, Pottstown, PA 19464 Phone: 610-327-7000 |