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Organization

FREDERICKSBURG COMMUNITY HEALTH CENTER PC

Active
Other names
Jonestown Health Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MYRON D MILLER MD (PRESIDENT OF CORP)
(717) 865-6644
Entity
Organization

Contact information

Practice address
120 S. TAN ST., SUITE 1, FREDERICKSBURG, PA 17026
(717) 865-6644
(717) 865-7321
Mailing address
PO BOX 9, FREDERICKSBURG, PA 17026-0009
(717) 865-6644
(717) 865-7321

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0018501090001
PA
01
02377200
BLUE CROSS
PA
01
1520462
GATEWAY
PA
01
CH6940
MEDICARE RAILROAD
PA
Enumeration date
10/28/2005
Last updated
01/16/2015
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