| North Columbia Medical Offices, Inc. | |
|
4469 Red Rock Rd Benton PA 17814-7606 | |
| (570) 925-6424 | |
| (570) 925-5930 |
| Full Name | North Columbia Medical Offices, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 4469 Red Rock Rd, Benton, Pennsylvania |
| Authorized Official Name and Position | Richard A Prisuta (PRESIDENT) |
| Authorized Official Contact | 5709256424 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Columbia Medical Offices, Inc. Po Box 390 Benton PA 17814-0390 Ph: (570) 925-6424 | North Columbia Medical Offices, Inc. 4469 Red Rock Rd Benton PA 17814-7606 Ph: (570) 925-6424 |
| NPI Number | 1720040090 |
|---|---|
| Provider Enumeration Date | 04/04/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720040090 | NPI | - | NPPES |
| 1007396970001 | Medicaid | PA | |
| M2378 | Other | RAILROAD MEDICARE | |
| C325 | Other | GEISINGER HEALTH PLAN | |
| 506030 | Other | PA | HIGHMARK BLUE SHIELD |
| 02283200 | Other | PA | CAPITAL BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Bps Benton Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4469 Red Rock Rd, Benton, PA 17814 Phone: 570-925-6424 | |
Geisinger Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4469 Red Rock Rd, Benton, PA 17814 Phone: 570-925-6424 Fax: 570-925-5852 | |
Vine Pharmacy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4375 Red Rock Rd, Benton, PA 17814 Phone: 570-925-2500 Fax: 570-925-5771 |