| Maxis Medical Services | |
|
Main Street Clifford PA 18413-0120 | |
| (570) 222-5200 | |
| (570) 222-5201 |
| Full Name | Maxis Medical Services |
|---|---|
| Speciality | Internal Medicine |
| Location | Main Street, Clifford, Pennsylvania |
| Authorized Official Name and Position | Mary Theresa Vautrinot (PRESIDENT) |
| Authorized Official Contact | 5702811001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maxis Medical Services Po Box 517 Carbondale PA 18407-0517 Ph: (570) 281-1315 | Maxis Medical Services Main Street Clifford PA 18413-0120 Ph: (570) 222-5200 |
| NPI Number | 1396940300 |
|---|---|
| Provider Enumeration Date | 06/19/2007 |
| Last Update Date | 07/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396940300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | OS008778L (Pennsylvania) | Primary |