| Connectionspa Llc | |
|
1100 S Cameron St Ste 2 Harrisburg PA 17104-2547 | |
| (520) 301-2400 | |
| Not Available |
| Full Name | Connectionspa Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1100 S Cameron St Ste 2, Harrisburg, Pennsylvania |
| Authorized Official Name and Position | Cheryl Boyle (DIRECTOR, REV CYCLE MANAGEMENT) |
| Authorized Official Contact | 7376006039 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Connectionspa Llc 2390 E Camelback Rd Ste 400 Phoenix AZ 85016-3479 Ph: () - | Connectionspa Llc 1100 S Cameron St Ste 2 Harrisburg PA 17104-2547 Ph: (520) 301-2400 |
| NPI Number | 1134969082 |
|---|---|
| Provider Enumeration Date | 05/29/2024 |
| Last Update Date | 12/05/2024 |
| Medicare PECOS PAC ID | 3971038373 |
|---|---|
| Medicare Enrollment ID | O20241121003906 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134969082 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
| Provider Name | Marion M Welch Bunker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871556928 PECOS PAC ID: 0749226645 Enrollment ID: I20050714000139 |
| Provider Name | Amanda E Hershey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003249079 PECOS PAC ID: 7113153511 Enrollment ID: I20131113000581 |
| Provider Name | Esther U Anyatonwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245623198 PECOS PAC ID: 0446578538 Enrollment ID: I20150422000847 |
| Provider Name | Lindsey G Romberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083133714 PECOS PAC ID: 5395070148 Enrollment ID: I20190716001986 |
| Provider Name | Holly Dubois |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518086511 PECOS PAC ID: 4880773092 Enrollment ID: I20241122001181 |
| Provider Name | Christine Rochelle Hess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538992136 PECOS PAC ID: 9931638343 Enrollment ID: I20250130001899 |
| Provider Name | Amaar Malik |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043888167 PECOS PAC ID: 3779013958 Enrollment ID: I20250204002317 |
| Provider Name | Jackie Sue Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184671638 PECOS PAC ID: 1254861784 Enrollment ID: I20250212002378 |
| Provider Name | Rose Osamudiamen Ojo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467116756 PECOS PAC ID: 8628511318 Enrollment ID: I20250218001906 |
| Provider Name | Andrew Richard Rhodes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669226692 PECOS PAC ID: 2466972690 Enrollment ID: I20250219000157 |
| Provider Name | Kaitlyn Ibberson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336987114 PECOS PAC ID: 9537689682 Enrollment ID: I20250220000885 |
| Provider Name | Angelia Elaine Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184438780 PECOS PAC ID: 6002336005 Enrollment ID: I20250220002680 |
| Provider Name | Trinity Felicia Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821678327 PECOS PAC ID: 8325568371 Enrollment ID: I20250221000347 |
| Provider Name | Tiara Baines |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790530988 PECOS PAC ID: 8820519226 Enrollment ID: I20250228003269 |
| Provider Name | Hannah Elisabeth Grumbein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073327516 PECOS PAC ID: 7618498767 Enrollment ID: I20250305004063 |
| Provider Name | Dawn R Flickinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588426399 PECOS PAC ID: 5698296192 Enrollment ID: I20250312001603 |
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