| North Penn Comprehensive Health Services | |
|
45 Mud Creek Rd Troy PA 16947-9529 | |
| (570) 297-3746 | |
| (570) 297-5127 |
| Full Name | North Penn Comprehensive Health Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 45 Mud Creek Rd, Troy, Pennsylvania |
| Authorized Official Name and Position | Ronald M Gilbert (CFO) |
| Authorized Official Contact | 5706621955 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Penn Comprehensive Health Services 40 W Wellsboro St Mansfield PA 16933-1411 Ph: (570) 662-1945 | North Penn Comprehensive Health Services 45 Mud Creek Rd Troy PA 16947-9529 Ph: (570) 297-3746 |
| NPI Number | 1417536285 |
|---|---|
| Provider Enumeration Date | 04/07/2021 |
| Last Update Date | 05/03/2024 |
| Medicare PECOS PAC ID | 0446245880 |
|---|---|
| Medicare Enrollment ID | O20210518002154 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417536285 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Stephen J Renzi Medical Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 160 S Railroad St, Station Square, Troy, PA 16947 Phone: 570-297-4555 Fax: 570-297-4777 | |
North Penn Comprehensive Health Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 45 Mud Creek Rd, Troy, PA 16947 Phone: 570-904-2243 Fax: 570-970-2149 |