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1425 Golden Mile Road Towanda PA 18848 | |
| (570) 265-9158 | |
| (570) 265-1687 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 1425 Golden Mile Road, Towanda, Pennsylvania |
| Authorized Official Name and Position | Angela Tama Tama (PRESIDENT/OWNER) |
| Authorized Official Contact | 5702656300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
71 Hospital Drive Towanda PA 18848-9706 Ph: (570) 265-6300 | 1425 Golden Mile Road Towanda PA 18848 Ph: (570) 265-9158 |
| NPI Number | 1699939819 |
|---|---|
| Provider Enumeration Date | 07/16/2008 |
| Last Update Date | 09/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699939819 | NPI | - | NPPES |
| 1007556720027 | Medicaid | PA | |
| 100755672 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
North Penn Comprehensive Health Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 410 Main St Ste 102, Towanda, PA 18848 Phone: 570-266-5882 | |
Concern-professional Services For Children, Youth & Families Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 High School Dr, Towanda, PA 18848 Phone: 570-340-0655 | |
Concern-professional Services For Children, Youth & Families Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 420 State St, Towanda, PA 18848 Phone: 570-340-0655 | |
Concern-professional Services For Children, Youth & Families Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 N 4th St, Towanda, PA 18848 Phone: 570-340-0655 | |
Robert Packer Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 91 Hospital Dr, Towanda, PA 18848 Phone: 570-265-2191 | |
North Penn Comprehensive Health Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1 Elizabeth St Ste 6, Towanda, PA 18848 Phone: 570-265-2069 |