| Prospect Health Access Network, Inc. | |
|
1553 Chester Pike Ste 101 Crum Lynne PA 19022-1022 | |
| (610) 447-2000 | |
| Not Available |
| Full Name | Prospect Health Access Network, Inc. |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 1553 Chester Pike Ste 101, Crum Lynne, Pennsylvania |
| Authorized Official Name and Position | Robert Jon Elders (SECRETARY) |
| Authorized Official Contact | 7147881249 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prospect Health Access Network, Inc. 1553 Chester Pike Ste 101 Crum Lynne PA 19022-1022 Ph: (610) 447-2000 | Prospect Health Access Network, Inc. 1553 Chester Pike Ste 101 Crum Lynne PA 19022-1022 Ph: (610) 447-2000 |
| NPI Number | 1619322112 |
|---|---|
| Provider Enumeration Date | 05/03/2016 |
| Last Update Date | 10/11/2023 |
| Certification Date | 10/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619322112 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
Carelink Community Support Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 338a Hollis Avenue, Crum Lynne, PA 19022 Phone: 610-833-5360 Fax: 610-833-1854 |