| Omni Health Services, Inc. | |
|
100 W 15th St Chester PA 19013-5314 | |
| (484) 480-6284 | |
| (484) 480-8523 |
| Full Name | Omni Health Services, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 100 W 15th St, Chester, Pennsylvania |
| Authorized Official Name and Position | Heather Dombrowski (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 2159972000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Omni Health Services, Inc. Po Box 454 Montgomeryville PA 18936-0454 Ph: () - | Omni Health Services, Inc. 100 W 15th St Chester PA 19013-5314 Ph: (484) 480-6284 |
| NPI Number | 1669722096 |
|---|---|
| Provider Enumeration Date | 09/13/2012 |
| Last Update Date | 08/12/2022 |
| Certification Date | 08/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669722096 | NPI | - | NPPES |
| 102001663-0032 | Medicaid | PA | |
| 1020016630013 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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