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NPI Code Detail

MEDICARE: THE BRETHREN HOME COMMUNITY

MEDICARE: THE BRETHREN HOME COMMUNITY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility022502PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1395108OTHERPACAPITAL BLUE CROSS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
30363OTHERPAHIGHMARK BLUE SHIELD

General Provider Information

NPI Number : 1225034440
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE BRETHREN HOME COMMUNITY
Provider Business Mailing Address
First Line : 2990 CARLISLE PIKE
Second Line :
City : NEW OXFORD
State : PA
Zip : 17350
Country : US
Telephone Number : 717-624-2161
Fax Number : 717-624-5252
Provider Business Practice Location Address
First Line : 2990 CARLISLE PIKE
Second Line :
City : NEW OXFORD
State : PA
Zip : 17350-9582
Country : US
Telephone Number : 717-624-2161
Fax Number : 717-624-5252
Authorized Official
Title or Position : CONTROLLER
Name : MR. SCOTT SOWERS
Credential :
Telephone Number : 717-624-5498
Provider Enumeration Date : 06/22/2005
Last Update Date : 02/12/2016

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1801085477 — MS. PATRICIA A. STRICKHOUSER PTA
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1265612386 — TABITHA ANNE SMITH PTA
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1164603767 — MRS. CHRISTINE F GLEIM OT/L
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Directions to “THE BRETHREN HOME COMMUNITY ” Practice Location

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