| Premise Health Of Pennsylvania Medical, P.c | |
|
200 Centerpoint Blvd Pittston PA 18640-6135 | |
| (570) 603-6111 | |
| (570) 603-6198 |
| Full Name | Premise Health Of Pennsylvania Medical, P.c |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 200 Centerpoint Blvd, Pittston, Pennsylvania |
| Authorized Official Name and Position | Jon Leizman (PRESIDENT) |
| Authorized Official Contact | 2164799063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premise Health Of Pennsylvania Medical, P.c 5500 Maryland Way Ste 120 Brentwood TN 37027-4993 Ph: () - | Premise Health Of Pennsylvania Medical, P.c 200 Centerpoint Blvd Pittston PA 18640-6135 Ph: (570) 603-6111 |
| NPI Number | 1982030136 |
|---|---|
| Provider Enumeration Date | 09/19/2013 |
| Last Update Date | 08/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982030136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Pittston Medical Associates, Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1099 S Township Blvd, Suite F, Pittston, PA 18640 Phone: 570-654-6759 | |
Lehigh Valley Physician Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1120 Oak St, Pittston, PA 18640 Phone: 570-299-3384 Fax: 570-299-7089 | |
Geisinger Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 457 N Main St, Pittston, PA 18640 Phone: 570-883-9444 |