| Fredericksburg Community Health Center Pc | |
|
120 S. Tan St. Suite 1 Fredericksburg PA 17026 | |
| (717) 865-6644 | |
| (717) 865-7321 |
| Full Name | Fredericksburg Community Health Center Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 120 S. Tan St., Fredericksburg, Pennsylvania |
| Authorized Official Name and Position | Myron D Miller (PRESIDENT OF CORP) |
| Authorized Official Contact | 7178656644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fredericksburg Community Health Center Pc Po Box 9 Fredericksburg PA 17026-0009 Ph: (717) 865-6644 | Fredericksburg Community Health Center Pc 120 S. Tan St. Suite 1 Fredericksburg PA 17026 Ph: (717) 865-6644 |
| NPI Number | 1215927322 |
|---|---|
| Provider Enumeration Date | 10/28/2005 |
| Last Update Date | 01/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215927322 | NPI | - | NPPES |
| 1520462 | Other | PA | GATEWAY |
| 0018501090001 | Medicaid | PA | |
| 02377200 | Other | PA | BLUE CROSS |
| CH6940 | Other | PA | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Wellspan Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2972 Us Hwy 22, Fredericksburg, PA 17026 Phone: 717-820-4605 Fax: 717-208-8454 |