Organization
HAMILTON HEALTH CENTER-DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DANITA HENSON (OFFICE MANAGER)
(717) 230-3906
Entity
Organization
Contact information
Practice address
110 S 17TH ST, HARRISBURG, PA 17104-1123
(717) 230-3906
(717) 230-3914
Mailing address
110 S 17TH ST, HARRISBURG, PA 17104-1123
(717) 230-3906
(717) 230-3914
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007480790008
—
PA
Enumeration date
03/04/2008
Last updated
08/30/2017
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