Full Name | |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 50 S 6th St, Columbia, Pennsylvania |
Authorized Official Name and Position | Alisa Maria Jones (PRESIDENT AND CEO) |
Authorized Official Contact | 7179451551 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
304 N Water St Lancaster PA 17603-3374 Ph: (717) 735-6808 | 50 S 6th St Columbia PA 17512-1572 Ph: (717) 299-6371 |
NPI Number | 1417715871 |
---|---|
Provider Enumeration Date | 03/11/2024 |
Last Update Date | 09/30/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417715871 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
River Of Life Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 291 S 4th St, Columbia, PA 17512 Phone: 717-684-9000 | |