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520 W 4th St Williamsport PA 17701-6038 | |
(570) 322-4836 | |
(570) 322-4769 |
Full Name | |
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Speciality | Clinic/center |
Location | 520 W 4th St, Williamsport, Pennsylvania |
Authorized Official Name and Position | Christopher Howard (VP AND SECRETARY) |
Authorized Official Contact | 6158616000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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520 W 4th St Williamsport PA 17701-6038 Ph: (570) 322-4836 | 520 W 4th St Williamsport PA 17701-6038 Ph: (570) 322-4836 |
NPI Number | 1053617118 |
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Provider Enumeration Date | 02/07/2011 |
Last Update Date | 10/19/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053617118 | NPI | - | NPPES |
1007567870061 | Medicaid | PA | |
1007567870091 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 417040 (Pennsylvania) | Primary |
Geisinger-hm Joint Venture, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1824 E 3rd St, Williamsport, PA 17701 Phone: 570-601-2200 Fax: 570-601-2202 | |
Open Arms Internal Medicine & Pediatrics, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3155 Lycoming Creek Rd, Williamsport, PA 17701 Phone: 570-244-1877 | |