Lycoming-clinton Joinder Board

NPI 1275739955 - Health Maintenance Organization - 302R00000X

NPI Details
NPI 1275739955
Enumeration Date 06/21/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ELLEN ELLEN
Position HUMAN SERVICES DIRECTOR
Phone (570) 326-0924
Fax (570) 326-1348
Practice Location
200 EAST ST
WILLIAMSPORT PA, 17701-6613, US
Phone (570) 326-0924
Fax (570) 326-1348
Business Location
200 EAST ST
WILLIAMSPORT PA, 17701-6613, US
Phone (570) 326-0924
Fax (570) 326-1348
Toxanomy
Taxonomy Code 302R00000X
License State
License Number
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According to our database, Lycoming-clinton Joinder Board NPI is 1275739955, taxonomy code is 302R00000X Lycoming-clinton Joinder Board physically located at 200 East St, Williamsport PA, 17701-6613. NPI Number 1033115704 has the healthcare provider type.

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1275739955 NPI number is provided on an as is basis without warranty of any kind. 1275739955 is maintained by the National Plan & Provider Enumeration System. The contents of Lycoming-clinton Joinder Board are for informational purposes only.