| Lock Haven Medical Center Inc | |
|
930 Bellefonte Ave Suite 105 Lock Haven PA 17745-2754 | |
| (570) 748-1550 | |
| (570) 748-1510 |
| Full Name | Lock Haven Medical Center Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 930 Bellefonte Ave, Lock Haven, Pennsylvania |
| Authorized Official Name and Position | Bharat G Adroja (PRESIDENT) |
| Authorized Official Contact | 5707481550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lock Haven Medical Center Inc 930 Bellefonte Ave Suite 105 Lock Haven PA 17745-2754 Ph: (570) 748-1550 | Lock Haven Medical Center Inc 930 Bellefonte Ave Suite 105 Lock Haven PA 17745-2754 Ph: (570) 748-1550 |
| NPI Number | 1093829855 |
|---|---|
| Provider Enumeration Date | 08/18/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3274420161 |
|---|---|
| Medicare Enrollment ID | O20040304000156 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093829855 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD073482L (Pennsylvania) | Primary |
| Provider Name | Bharat G Adroja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821070947 PECOS PAC ID: 4981591872 Enrollment ID: I20101109001039 |
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