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Organization

COMMUNITY HEALTH CARE RURAL HEALTH CLINIC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. NADINE MARKOVICH-STEN PA-C (MEMBER / ADMINISTRATIVE DIRECTOR)
(570) 644-2222
Entity
Organization

Contact information

Practice address
550 W WALNUT ST, SHAMOKIN, PA 17872-5226
(570) 644-2222
(570) 648-4705
Mailing address
550 W WALNUT ST, SHAMOKIN, PA 17872-5226
(570) 644-2222
(570) 648-4705

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary

Other

Enumeration date
02/10/2016
Last updated
02/10/2016
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