| Nepa Community Health Care | |
|
25066 State Route 11 Mountain View Plz Hallstead PA 18822-9511 | |
| (570) 879-5249 | |
| (570) 278-0707 |
| Full Name | Nepa Community Health Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 25066 State Route 11, Hallstead, Pennsylvania |
| Authorized Official Name and Position | Kristen Follert (CEO) |
| Authorized Official Contact | 5702785157 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nepa Community Health Care 498 S Main St Ste D Montrose PA 18801-1317 Ph: (570) 278-7500 | Nepa Community Health Care 25066 State Route 11 Mountain View Plz Hallstead PA 18822-9511 Ph: (570) 879-5249 |
| NPI Number | 1245272707 |
|---|---|
| Provider Enumeration Date | 06/11/2006 |
| Last Update Date | 07/05/2023 |
| Medicare PECOS PAC ID | 8921091745 |
|---|---|
| Medicare Enrollment ID | O20100112000580 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245272707 | NPI | - | NPPES |
| 1007701310006 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Barnes-kasson County Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 25059 State Route 11, Hallstead, PA 18822 Phone: 570-853-3135 Fax: 570-853-3008 |