| Diakon Child Family And Community Ministries | |
|
5000 Ritter Road Suite 101 Mechanicsburg PA 17055-6922 | |
| (717) 795-0330 | |
| (717) 795-0407 |
| Full Name | Diakon Child Family And Community Ministries |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5000 Ritter Road, Mechanicsburg, Pennsylvania |
| Authorized Official Name and Position | Shari Vandergast (CEO) |
| Authorized Official Contact | 6102098280 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diakon Child Family And Community Ministries 5000 Ritter Road Suite 101 Mechanicsburg PA 17055-6922 Ph: (717) 795-0330 | Diakon Child Family And Community Ministries 5000 Ritter Road Suite 101 Mechanicsburg PA 17055-6922 Ph: (717) 795-0330 |
| NPI Number | 1669882700 |
|---|---|
| Provider Enumeration Date | 04/29/2014 |
| Last Update Date | 08/11/2025 |
| Certification Date | 08/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669882700 | NPI | - | NPPES |
| 1029202560002 | Medicaid | PA | |
| 1443618 | Other | PA | PA BLUE SHIELD - PSYCHOLO |
| 1808012 | Other | PA | PA BLUE SHIELD FEP - LCSW |
| 02319100 | Other | PA | CAPITAL BLUE CROSS |
| 1526223 | Other | PA | PA BLUE SHIELD - CRNP |
| 716009 | Other | PA | PA BLUE SHIELD - MD/DO |
| 301029 | Other | PA | VALUEOPTIONS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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