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358 Hamlin Hwy Lake Ariel PA 18436-9382 | |
| (570) 689-9965 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 358 Hamlin Hwy, Lake Ariel, Pennsylvania |
| Authorized Official Name and Position | Teresa Lacey (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5702538451 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
601 Park St Honesdale PA 18431-1445 Ph: (570) 253-8226 | 358 Hamlin Hwy Lake Ariel PA 18436-9382 Ph: (570) 689-9965 |
| NPI Number | 1174974232 |
|---|---|
| Provider Enumeration Date | 06/29/2016 |
| Last Update Date | 01/16/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174974232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Little Creek Outpatient Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 473 Easton Tpke Ste 5, Lake Ariel, PA 18436 Phone: 570-689-6068 Fax: 570-689-2744 | |
Maternal & Family Health Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 543 Easton Tpke, Lake Ariel, PA 18436 Phone: 570-390-5000 Fax: 570-390-5004 | |
William S. Maigur, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1434 Mount Cobb Rd, Lake Ariel, PA 18436 Phone: 570-752-4308 |