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NPI Code Detail

MEDICARE: COUNTY OF MONTGOMERY

MEDICARE: COUNTY OF MONTGOMERY
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
1333600000XPharmacyHP-416521-LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
23937109OTHERNCPDP / NABP

General Provider Information

NPI Number : 1699767590
Entity Type Code : Organization
Provider Name (Legal Business Name) : COUNTY OF MONTGOMERY
Provider Business Mailing Address
First Line : 1600 BLACK ROCK RD
Second Line :
City : ROYERSFORD
State : PA
Zip : 19468-3109
Country : US
Telephone Number : 610-792-2308
Fax Number : 610-792-4328
Provider Business Practice Location Address
First Line : 1600 BLACK ROCK RD
Second Line :
City : ROYERSFORD
State : PA
Zip : 19468-3109
Country : US
Telephone Number : 610-792-2308
Fax Number : 610-792-4328
Authorized Official
Title or Position : NURSING HOME ADMINISTRATOR
Name : MELANIE J. DEBLASE
Credential : RN-C, NHA
Telephone Number : 610-792-2256
Provider Enumeration Date : 08/17/2005
Last Update Date : 08/22/2020

Similar Medicare Providers

1346241908 — ACHILLES J. INVERSO RPH
Practice Location Address:
1600 BLACK ROCK RD
ROYERSFORD, PA
19468-3109
Practice Phone: 610-792-2314
Practice Fax: 610-792-4328
1053312207 — DAWSON EUGENE HOFFMAN III RPH
Practice Location Address:
1600 BLACK ROCK RD
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1174525109 — RHODA A OKAILY RPH
Practice Location Address:
1600 BLACK ROCK RD
ROYERSFORD, PA
19468-3109
Practice Phone: 610-792-2342
Practice Fax: 610-792-4328
1144218520 — MONTGOMERY COUNTY TREAS COURT HOUSE
Practice Location Address:
1600 BLACK ROCK RD
ROYERSFORD, PA
19468-3109
Practice Phone: 610-792-4026
Practice Fax:
1043251689 — JOYCE BOND PHYSICIAN ASSISTANT
Practice Location Address:
1600 BLACK ROCK RD
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1710029335 — BARBARA PROTENIC PAC
Practice Location Address:
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Directions to “COUNTY OF MONTGOMERY ” Practice Location

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