| Crhs@ Hamilton Health Center | |
|
110 S 17th St Harrisburg PA 17104 | |
| (717) 232-9971 | |
| Not Available |
| Full Name | Crhs@ Hamilton Health Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 110 S 17th St, Harrisburg, Pennsylvania |
| Authorized Official Name and Position | Jeannine Peterson (CEO) |
| Authorized Official Contact | 7172329971 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crhs@ Hamilton Health Center 110 S 17th St Harrisburg PA 17104-1123 Ph: (717) 232-9971 | Crhs@ Hamilton Health Center 110 S 17th St Harrisburg PA 17104 Ph: (717) 232-9971 |
| NPI Number | 1023058534 |
|---|---|
| Provider Enumeration Date | 06/07/2006 |
| Last Update Date | 05/25/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023058534 | NPI | - | NPPES |
| 391808 | Other | PA | MEDICARE |
| 391937 | Other | PA | MEDICARE |
| 100748079007 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | MD055892L (Pennsylvania) | Primary |
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