| |
112 N 7th St Chambersburg PA 17201-1720 | |
(717) 267-3000 | |
Not Available |
Full Name | |
---|---|
Speciality | Clinic/center |
Location | 112 N 7th St, Chambersburg, Pennsylvania |
Authorized Official Name and Position | John Massimilla (VP) |
Authorized Official Contact | 7172677139 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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785 5th Ave Ste 3 Chambersburg PA 17201-4232 Ph: (717) 263-9555 | 112 N 7th St Chambersburg PA 17201-1720 Ph: (717) 267-3000 |
NPI Number | 1669523320 |
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Provider Enumeration Date | 01/16/2007 |
Last Update Date | 01/11/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669523320 | NPI | - | NPPES |
1007459700048 | Medicaid | PA | |
1007459700055 | Medicaid | PA | |
1007459700051 | Medicaid | PA | |
1007459700056 | Medicaid | PA | |
1007459700054 | Medicaid | PA | |
1007459700061 | Medicaid | PA | |
1007459700049 | Medicaid | PA | |
1007459700050 | Medicaid | PA | |
1007459700052 | Medicaid | PA | |
1007459700053 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
282N00000X | General Acute Care Hospital | 036001 (Pennsylvania) | Secondary |
Chambersburg Gastroenterology Asso., Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 835 5th Ave, Chambersburg, PA 17201 Phone: 717-263-0629 Fax: 717-263-7105 | |
Fairway Medical Associates Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 144 S 8th St, Suite 111, Chambersburg, PA 17201 Phone: 717-264-6511 Fax: 717-264-1081 |