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560 S Reading Rd Ephrata PA 17522-1834 | |
(717) 299-6371 | |
(717) 325-8057 |
Full Name | |
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Speciality | Clinic/Center |
Location | 560 S Reading Rd, Ephrata, 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 | 560 S Reading Rd Ephrata PA 17522-1834 Ph: (717) 299-6371 |
NPI Number | 1457002453 |
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Provider Enumeration Date | 01/12/2022 |
Last Update Date | 07/15/2024 |
Medicare PECOS PAC ID | 8123914322 |
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Medicare Enrollment ID | O20220217001484 |
Identifier | Type | State | Issuer |
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1457002453 | NPI | - | NPPES |
1007614190020 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |