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108 Catawissa Street Nesquehoning PA 18240-1511 | |
(570) 669-9990 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 108 Catawissa Street, Nesquehoning, Pennsylvania |
Authorized Official Name and Position | Andrea T Rosko (EXECUTIVE DIRECTOR, SLPHO) |
Authorized Official Contact | 6109544132 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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108 Catawissa Street Nesquehoning PA 18240-1511 Ph: (570) 669-9990 | 108 Catawissa Street Nesquehoning PA 18240-1511 Ph: (570) 669-9990 |
NPI Number | 1568650836 |
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Provider Enumeration Date | 10/11/2007 |
Last Update Date | 05/13/2011 |
Medicare PECOS PAC ID | 4486562030 |
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Medicare Enrollment ID | O20071212000265 |
Identifier | Type | State | Issuer |
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1568650836 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
St. Luke's Physician Group, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1114 E Catawissa St, Nesquehoning, PA 18240 Phone: 570-645-1920 Fax: 866-263-1962 | |
St. Luke's Physician Group, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 426 W Railroad St Ste 1, Nesquehoning, PA 18240 Phone: 484-526-6048 |