| Mindful Integrative Medicine | |
|
1238 Bloom Rd Danville PA 17821-6765 | |
| (847) 716-0288 | |
| Not Available |
| Full Name | Mindful Integrative Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 1238 Bloom Rd, Danville, Pennsylvania |
| Authorized Official Name and Position | Grace Showalter (CEO) |
| Authorized Official Contact | 8475803806 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Integrative Medicine 39 Erin Dr Danville PA 17821-8478 Ph: (847) 716-0288 | Mindful Integrative Medicine 1238 Bloom Rd Danville PA 17821-6765 Ph: (847) 716-0288 |
| NPI Number | 1508565862 |
|---|---|
| Provider Enumeration Date | 02/27/2023 |
| Last Update Date | 11/09/2023 |
| Medicare PECOS PAC ID | 9335583483 |
|---|---|
| Medicare Enrollment ID | O20240216003223 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508565862 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Adam J Albert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134342496 PECOS PAC ID: 2567545569 Enrollment ID: I20080214000217 |
| Provider Name | John Showalter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609082064 PECOS PAC ID: 9931253911 Enrollment ID: I20240219000130 |
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