| River Valley Health & Dental Center | |
|
124 E Walnut St Ste 2 Lock Haven PA 17745-3522 | |
| (570) 567-5422 | |
| Not Available |
| Full Name | River Valley Health & Dental Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 124 E Walnut St Ste 2, Lock Haven, Pennsylvania |
| Authorized Official Name and Position | Max Houseknecht (CFO) |
| Authorized Official Contact | 5705675418 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| River Valley Health & Dental Center 471 Hepburn St Williamsport PA 17701-6122 Ph: (570) 567-5436 | River Valley Health & Dental Center 124 E Walnut St Ste 2 Lock Haven PA 17745-3522 Ph: (570) 567-5422 |
| NPI Number | 1174254262 |
|---|---|
| Provider Enumeration Date | 06/21/2022 |
| Last Update Date | 09/24/2024 |
| Medicare PECOS PAC ID | 8527251230 |
|---|---|
| Medicare Enrollment ID | O20231221001130 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174254262 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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