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128 N Puritan Street Shinglehouse PA 16748 | |
(814) 260-9352 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 128 N Puritan Street, Shinglehouse, Pennsylvania |
Authorized Official Name and Position | Janie Hilfiger (PRESIDENT) |
Authorized Official Contact | 5707230100 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 668 Shinglehouse PA 16748-0668 Ph: (814) 260-9352 | 128 N Puritan Street Shinglehouse PA 16748 Ph: (814) 260-9352 |
NPI Number | 1407928757 |
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Provider Enumeration Date | 11/14/2006 |
Last Update Date | 11/06/2023 |
Medicare PECOS PAC ID | 3779487475 |
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Medicare Enrollment ID | O20080724000778 |
Identifier | Type | State | Issuer |
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1407928757 | NPI | - | NPPES |
100001127-0132 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |