Organization
CRHS@ HAMILTON HEALTH CENTER
Active
Other names
HAMILTON HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNINE PETERSON (CEO)
(717) 232-9971
Entity
Organization
Contact information
Practice address
110 S 17TH ST, HARRISBURG, PA 17104
(717) 232-9971
Mailing address
110 S 17TH ST, HARRISBURG, PA 17104-1123
(717) 232-9971
(717) 920-3935
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
MD055892L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100748079007
—
PA
01
—
391808
MEDICARE
PA
01
—
391937
MEDICARE
PA
Enumeration date
06/07/2006
Last updated
05/25/2018
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