| Merakey Pennsylvania | |
|
912 Main St Fl 2 Stroudsburg PA 18360-1641 | |
| (215) 836-3131 | |
| (215) 273-5975 |
| Full Name | Merakey Pennsylvania |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 912 Main St Fl 2, Stroudsburg, Pennsylvania |
| Authorized Official Name and Position | Norman E Tilson (CORP SR. DIRECTOR OF BUSINESS OPS) |
| Authorized Official Contact | 2158363131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Merakey Pennsylvania 4251 Crums Mill Rd Harrisburg PA 17112-2824 Ph: (215) 836-3131 | Merakey Pennsylvania 912 Main St Fl 2 Stroudsburg PA 18360-1641 Ph: (215) 836-3131 |
| NPI Number | 1649478876 |
|---|---|
| Provider Enumeration Date | 07/10/2007 |
| Last Update Date | 02/15/2024 |
| Certification Date | 02/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649478876 | NPI | - | NPPES |
| 100001744 | Medicaid | PA | MPI |
| 1000017440388 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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