| Community Health Net | |
|
4401 Iroquois Ave Erie PA 16511-2219 | |
| (814) 455-7222 | |
| (814) 459-6678 |
| Full Name | Community Health Net |
|---|---|
| Speciality | Clinic/Center |
| Location | 4401 Iroquois Ave, Erie, Pennsylvania |
| Authorized Official Name and Position | Craig A Ulmer (CEO) |
| Authorized Official Contact | 8144544530 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Health Net Po Box 369 Erie PA 16512-0369 Ph: (814) 454-4530 | Community Health Net 4401 Iroquois Ave Erie PA 16511-2219 Ph: (814) 455-7222 |
| NPI Number | 1972826626 |
|---|---|
| Provider Enumeration Date | 03/09/2010 |
| Last Update Date | 03/20/2023 |
| Medicare PECOS PAC ID | 1759290588 |
|---|---|
| Medicare Enrollment ID | O20120316000400 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972826626 | NPI | - | NPPES |
| 100754307-0052 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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