| Omni Health Services, Inc. | |
|
1246 West Tilghman Street Allentown PA 18102 | |
| (484) 221-8296 | |
| Not Available |
| Full Name | Omni Health Services, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1246 West Tilghman Street, Allentown, Pennsylvania |
| Authorized Official Name and Position | Heather Dombrowski (CREDENTIALING) |
| Authorized Official Contact | 2159972000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Omni Health Services, Inc. Po Box 454 Colmar PA 18915-0454 Ph: () - | Omni Health Services, Inc. 1246 West Tilghman Street Allentown PA 18102 Ph: (484) 221-8296 |
| NPI Number | 1386362556 |
|---|---|
| Provider Enumeration Date | 08/15/2022 |
| Last Update Date | 08/15/2022 |
| Certification Date | 08/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386362556 | NPI | - | NPPES |
| 102001663-0026 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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