| Lch Health and Community Services | |
|
731 W Cypress St Kennett Square PA 19348-2419 | |
| (610) 444-7550 | |
| Not Available |
| Full Name | Lch Health and Community Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 731 W Cypress St, Kennett Square, Pennsylvania |
| Authorized Official Name and Position | Ronan Gannon (CEO) |
| Authorized Official Contact | 6104447550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lch Health and Community Services 731 W Cypress St Kennett Square PA 19348-2419 Ph: (610) 444-7550 | Lch Health and Community Services 731 W Cypress St Kennett Square PA 19348-2419 Ph: (610) 444-7550 |
| NPI Number | 1285984476 |
|---|---|
| Provider Enumeration Date | 09/14/2012 |
| Last Update Date | 05/23/2023 |
| Certification Date | 05/23/2023 |
| Medicare PECOS PAC ID | 2466406574 |
|---|---|
| Medicare Enrollment ID | O20130118000013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285984476 | NPI | - | NPPES |
| 100752680-0007 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (NU) | Primary |
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