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THREE ANGELS FAMILY PRACTICE & WELLNESS CENTER LLC NPI 1205592250


NPI Information

NPI: 1205592250
Provider Name: THREE ANGELS FAMILY PRACTICE & WELLNESS CENTER, LLC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

CLIA Number: 39D2247074

Address:
1249 COCOA AVE
HERSHEY, PA
ZIP 17033
Phone: (717) 462-2590
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THREE ANGELS FAMILY PRACTICE & WELLNESS CENTER, LLC is a health service clinic center in Hershey, PA. THREE ANGELS FAMILY PRACTICE & WELLNESS CENTER, LLC NPI is 1205592250. The provider is registered as an organization entity type.

The provider's business location address is:

1249 COCOA AVE
HERSHEY, PA
ZIP 17033-700
Phone: (717) 462-2590

The provider's authorized official is Danette J Joseph .
The authorized official title is Md/owner and has the following contact phone number (717) 462-2590.

The CLIA number assigned to this NPI record is 39D2247074 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/15/2021 and was last updated on 11/15/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QH0100XClinic/CenterHealth ServiceYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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