| |
252 South 4th Street Lebanon PA 17042-6123 | |
(717) 270-7500 | |
Not Available |
Full Name | |
---|---|
Speciality | Clinic/center - Ambulatory Surgical |
Location | 252 South 4th Street, Lebanon, Pennsylvania |
Authorized Official Name and Position | Patricia Donley (VP) |
Authorized Official Contact | 7172707503 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
601 Memory Ln York PA 17402-2231 Ph: (717) 851-1405 | 252 South 4th Street Lebanon PA 17042-6123 Ph: (717) 270-7500 |
NPI Number | 1205902343 |
---|---|
Provider Enumeration Date | 11/28/2006 |
Last Update Date | 02/04/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205902343 | NPI | - | NPPES |
1007732780028 | Medicaid | PA | |
1007732780071 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
261QA1903X | Clinic/center - Ambulatory Surgical | 072401 (Pennsylvania) | Primary |
Agape Family Medicine, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Cumberland St, Lebanon, PA 17042 Phone: 717-270-0335 Fax: 717-270-9740 | |
Lebanon Family Health Service Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 615 Cumberland St, Lebanon, PA 17042 Phone: 717-273-6741 Fax: 717-273-6337 |