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446 N Reading Rd Ephrata PA 17522-9802 | |
(717) 738-6335 | |
(717) 721-8260 |
Full Name | |
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Speciality | Clinic/Center |
Location | 446 N Reading Rd, Ephrata, Pennsylvania |
Authorized Official Name and Position | Christina Moon (CVO SUPERVISOR) |
Authorized Official Contact | 7178511405 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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3421 Concord Rd York PA 17402-9001 Ph: (717) 851-1405 | 446 N Reading Rd Ephrata PA 17522-9802 Ph: (717) 738-6335 |
NPI Number | 1225375884 |
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Provider Enumeration Date | 01/15/2013 |
Last Update Date | 09/26/2017 |
Medicare PECOS PAC ID | 1951213115 |
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Medicare Enrollment ID | O20200608002581 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225375884 | NPI | - | NPPES |
1007464680006 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Secondary |
261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |