| Omni Health Services, Inc. | |
|
220 Pierce St Ste 100 Kingston PA 18704-4655 | |
| (570) 455-0322 | |
| (570) 455-0566 |
| Full Name | Omni Health Services, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 220 Pierce St Ste 100, Kingston, Pennsylvania |
| Authorized Official Name and Position | Jan Montgomery (CREDENTIALING) |
| 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: (215) 997-2000 | Omni Health Services, Inc. 220 Pierce St Ste 100 Kingston PA 18704-4655 Ph: (570) 455-0322 |
| NPI Number | 1093583247 |
|---|---|
| Provider Enumeration Date | 12/18/2023 |
| Last Update Date | 12/18/2023 |
| Certification Date | 12/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093583247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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