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101 N 6th St Ste 310 Allentown PA 18101-1403 | |
(484) 224-0777 | |
(610) 969-2432 |
Full Name | |
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Speciality | Clinic/Center |
Location | 101 N 6th St Ste 310, Allentown, Pennsylvania |
Authorized Official Name and Position | Louis Finnerty (ADMINSTRATOR) |
Authorized Official Contact | 5706143705 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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400 N 17th St Suite 300 Allentown PA 18104-5549 Ph: (610) 969-3003 | 101 N 6th St Ste 310 Allentown PA 18101-1403 Ph: (484) 224-0777 |
NPI Number | 1033854583 |
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Provider Enumeration Date | 04/29/2022 |
Last Update Date | 07/03/2023 |
Medicare PECOS PAC ID | 4284065327 |
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Medicare Enrollment ID | O20220824002261 |
Identifier | Type | State | Issuer |
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1033854583 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |