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901 Ironville Pike Columbia PA 17512-9513 | |
(717) 299-6371 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 901 Ironville Pike, Columbia, Pennsylvania |
Authorized Official Name and Position | Alisa Maria Jones (PRESIDENT AND CEO) |
Authorized Official Contact | 7179451551 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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304 N Water St Lancaster PA 17603-3374 Ph: (717) 299-6371 | 901 Ironville Pike Columbia PA 17512-9513 Ph: (717) 299-6371 |
NPI Number | 1922866391 |
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Provider Enumeration Date | 03/11/2024 |
Last Update Date | 09/25/2024 |
Medicare PECOS PAC ID | 8123914322 |
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Medicare Enrollment ID | O20240823002255 |
Identifier | Type | State | Issuer |
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1922866391 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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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 | |