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MILLER DONMOYER FAMILY HEALTH CENTER LLC NPI 1346541935


NPI Information

NPI: 1346541935
Provider Name: MILLER DONMOYER FAMILY HEALTH CENTER LLC
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 39D0906611

Address:
255 W SPRUCE ST
SHAMOKIN, PA
ZIP 17872
Phone: (570) 644-5050
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MILLER DONMOYER FAMILY HEALTH CENTER LLC is a rural health clinic center in Shamokin, PA. MILLER DONMOYER FAMILY HEALTH CENTER LLC NPI is 1346541935. The provider is registered as an organization entity type.

The provider's business location address is:

255 W SPRUCE ST
SHAMOKIN, PA
ZIP 17872-811
Phone: (570) 644-5050
Fax: (570) 644-2798

The provider's authorized official is Wayne R Miller .
The authorized official title is Member and has the following contact phone number (570) 644-5050.

The CLIA number assigned to this NPI record is 39D0906611 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/12/2010 and was last updated on 12/1/2022.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR1300XClinic/CenterRural HealthPENNSYLVANIAYes

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: 5/5/2024

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