| Health Care Center Llc | |
|
16e Hanover Street Gettysburg PA 17325 | |
| (917) 622-5441 | |
| Not Available |
| Full Name | Health Care Center Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 16e Hanover Street, Gettysburg, Pennsylvania |
| Authorized Official Name and Position | Ratnakanth M Siddabattula (PARTNER) |
| Authorized Official Contact | 9176225441 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Health Care Center Llc 16e Hanover Street Gettysburg PA 17325 Ph: (917) 622-5441 | Health Care Center Llc 16e Hanover Street Gettysburg PA 17325 Ph: (917) 622-5441 |
| NPI Number | 1427684059 |
|---|---|
| Provider Enumeration Date | 03/16/2020 |
| Last Update Date | 07/27/2021 |
| Medicare PECOS PAC ID | 6103227327 |
|---|---|
| Medicare Enrollment ID | O20210625000905 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427684059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Carlos J Vidal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225023765 PECOS PAC ID: 6002961935 Enrollment ID: I20090828000400 |
| Provider Name | Ratnakanth M Siddabattula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942468152 PECOS PAC ID: 8820225188 Enrollment ID: I20210625001162 |
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