Johnsonburg Dental Center in Johnsonburg - Federally Qualified Health Center (fqhc)
Johnsonburg Dental Center - NPI 1164514683
Johnsonburg Dental Center is a Federally Qualified Health Center (fqhc) in Johnsonburg, Pennsylvania. Johnsonburg Dental Center practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Johnsonburg Dental Center is 1164514683. The last update date is 2019-12-16.
Johnsonburg Dental Center's current location address is 81 Clarion Rd, Johnsonburg, Pennsylvania. You can contact this provider via phone number 8149655444 and fax number 8149652238. The mailing address for Johnsonburg Dental Center is 81 Clarion Rd, Johnsonburg, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Johnsonburg Dental Center |
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Address | 81 Clarion Rd, Johnsonburg, Pennsylvania |
Phone Number | 8149655444 |
Fax Number | 8149652238 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | CEO |
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Authorized Official Name | Bennardi M Kristie |
Telephone Number | 8144861115 |
NPI Number Detail
NPI Number | 1164514683 |
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Provider Enumeration Date | 2006-09-29 |
Last Updated Date | 2019-12-16 |
Provider Mailing Address Detail
Address | 81 Clarion Rd |
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City | Johnsonburg |
State | Pennsylvania (PA) |
Post Code | 158451656 |
Phone Number | 8149655444 |
Fax Number | 8149652238 |
Provider's Primary Taxonomy Detail
Speciality | Federally Qualified Health Center (fqhc) |
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Taxonomy | 261Qf0400X |
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
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What is the Johnsonburg Dental Center's 1164514683?
The Johnsonburg Dental Center's NPI (National Provider Identifier) Number is 1164514683. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Johnsonburg Dental Center is physically located?
The Johnsonburg Dental Center is physically situated at the following address: 81 Clarion Rd, Johnsonburg, PA, 158451656.
What is Johnsonburg Dental Center's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Johnsonburg Dental Center is Federally Qualified Health Center (fqhc), and the taxonomy classification code that categorizes this area of expertise is 261Qf0400X.
On what date did the Johnsonburg Dental Center receive the assignment of its 1164514683 from the Centers for Medicare & Medicaid Services?
The Johnsonburg Dental Center was issued its 1164514683 by the Centers for Medicare & Medicaid Services on 2006-09-29.
When was the information related to Johnsonburg Dental Center most recently updated or refreshed?
The details pertaining to the Johnsonburg Dental Center, including its address, specialty, and other relevant information, were last updated or refreshed on 2019-12-16.
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