OrganizationActive
Lycoming-Clinton Joinder Board
NPI 1275739955 · Health Maintenance Organization · Williamsport, PA
Provider details
- NPI number
- 1275739955
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Ellen Didomenico, Human Services Director(570) 323-6467
Specialties & taxonomies
Managed Care Organizations
Practice location
200 East St
Williamsport, PA 17701-6613
Phone: (570) 326-0924
Fax: (570) 326-1348
Approximate (ZIP-level) locationGet directions
Mailing address
200 East St
Williamsport, PA 17701-6613
Other names (DBA / former)
- Other name
- Lycoming Clinton Mhmr Program
Registry dates
- Enumerated
- 2007-06-21
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.