| Jersey Shore Hospital Foundation, Inc | |
|
104 East Central Avenue Avis PA 17721 | |
| (570) 753-8620 | |
| (570) 753-5489 |
| Full Name | Jersey Shore Hospital Foundation, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 104 East Central Avenue, Avis, Pennsylvania |
| Authorized Official Name and Position | Carey W. Plummer (CEO) |
| Authorized Official Contact | 5703983101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jersey Shore Hospital Foundation, Inc 104 East Central Avenue Po Box 430 Avis PA 17721 Ph: (570) 753-8620 | Jersey Shore Hospital Foundation, Inc 104 East Central Avenue Avis PA 17721 Ph: (570) 753-8620 |
| NPI Number | 1417019498 |
|---|---|
| Provider Enumeration Date | 12/15/2006 |
| Last Update Date | 04/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417019498 | NPI | - | NPPES |
| CL3010 | Other | PA | RAILROAD MEDICARE |
| 1001557500008 | Medicaid | PA | |
| 220807 | Other | PA | FIRST PRIORITY HEALTH |
| 5938 | Other | PA | AETNA |
| C2CE | Other | PA | GEISINGER HEALTH PLAN |
| 555630 | Other | PA | BLUE CROSS BLUE SHIELD |
Geisinger Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 E Central Ave, Avis, PA 17721 Phone: -- |