| Premise Health Of Pennsylvania Medical, P.c | |
|
459 Kennedy Dr Archbald PA 18403-1527 | |
| (570) 803-2467 | |
| (570) 803-2434 |
| Full Name | Premise Health Of Pennsylvania Medical, P.c |
|---|---|
| Speciality | Clinic/center |
| Location | 459 Kennedy Dr, Archbald, 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 459 Kennedy Dr Archbald PA 18403-1527 Ph: (570) 803-2467 |
| NPI Number | 1831608942 |
|---|---|
| Provider Enumeration Date | 09/21/2017 |
| Last Update Date | 08/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831608942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Lockheed Martin Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 459 Kennedy Dr, Archbald, PA 18403 Phone: 570-803-2467 |