| Nuestra Clinica | |
|
545 Pershing Ave Lancaster PA 17602-4369 | |
| (717) 293-4150 | |
| (717) 399-4289 |
| Full Name | Nuestra Clinica |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 545 Pershing Ave, Lancaster, Pennsylvania |
| Authorized Official Name and Position | Carlos E. Graupera (PRESIDENT) |
| Authorized Official Contact | 7175093712 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nuestra Clinica 545 Pershing Ave Lancaster PA 17602-4369 Ph: (717) 293-4150 | Nuestra Clinica 545 Pershing Ave Lancaster PA 17602-4369 Ph: (717) 293-4150 |
| NPI Number | 1003905423 |
|---|---|
| Provider Enumeration Date | 10/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003905423 | NPI | - | NPPES |
| 1007776330002 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 357057 (Pennsylvania) | Primary |
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