| Shenandoah Health Center | |
|
624 W Centre St Shenandoah PA 17976-1403 | |
| (570) 671-0300 | |
| (570) 671-0305 |
| Full Name | Shenandoah Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 624 W Centre St, Shenandoah, Pennsylvania |
| Authorized Official Name and Position | Carl A Sizer (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7243420126 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shenandoah Health Center 63 Pitt St Sharon PA 16146-2102 Ph: (724) 342-3002 | Shenandoah Health Center 624 W Centre St Shenandoah PA 17976-1403 Ph: (570) 671-0300 |
| NPI Number | 1407359060 |
|---|---|
| Provider Enumeration Date | 03/09/2018 |
| Last Update Date | 07/11/2024 |
| Medicare PECOS PAC ID | 9234046228 |
|---|---|
| Medicare Enrollment ID | O20180627002554 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407359060 | NPI | - | NPPES |
| 1007578460129 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Main Street Medical Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 24 South Main Street, Shenandoah, PA 17976 Phone: 570-462-1033 Fax: 570-462-1171 | |
James W. T. Hu Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 239 W. Center St, Shenandoah, PA 17976 Phone: 570-462-3542 Fax: 570-462-3542 | |
Anthony J Saraceni, Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 N Main St, Shenandoah, PA 17976 Phone: 570-462-2783 Fax: 570-462-2783 |