Community Health Clinic, Inc. | |
943 Fourth Avenue New Kensington PA 15068-6409 | |
(724) 335-3334 | |
(724) 335-2283 |
Full Name | Community Health Clinic, Inc. |
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Speciality | Clinic/Center |
Location | 943 Fourth Avenue, New Kensington, Pennsylvania |
Authorized Official Name and Position | Raji Jayakrishnan (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 7243353334 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Community Health Clinic, Inc. 943 Fourth Avenue New Kensington PA 15068-6409 Ph: (724) 335-3334 | Community Health Clinic, Inc. 943 Fourth Avenue New Kensington PA 15068-6409 Ph: (724) 335-3334 |
NPI Number | 1699701136 |
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Provider Enumeration Date | 06/25/2006 |
Last Update Date | 06/02/2016 |
Medicare PECOS PAC ID | 5294772463 |
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Medicare Enrollment ID | O20050411000340 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699701136 | NPI | - | NPPES |
1546540 | Other | PA | GATEWAY HEALTH PLAN |
3976949 | Other | PA | AETNAUS HEALTHCARE GROUP# |
001696755 | Other | PA | BC/BS GROUP NUMBER |
1012676430003 | Medicaid | PA |
Provider Name | Mark R Jones |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1801989595 PECOS PAC ID: 8224069505 Enrollment ID: I20051006000556 |
Provider Name | Ma Charmaine R Batac |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1720275951 PECOS PAC ID: 5597959015 Enrollment ID: I20101028001287 |
Provider Name | Shannon E Mcintyre |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093951857 PECOS PAC ID: 0749466316 Enrollment ID: I20110516000607 |
Provider Name | Adolfo G Bagnarello |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1386641280 PECOS PAC ID: 5395873723 Enrollment ID: I20140723000222 |
Provider Name | Charlotte Lynn Vermeulen |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225469901 PECOS PAC ID: 3072812619 Enrollment ID: I20160503000461 |
Provider Name | Monica Lynn Vega |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1497174775 PECOS PAC ID: 9335571298 Enrollment ID: I20191114000408 |
Provider Name | John Michael Burnheimer |
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Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1568024925 PECOS PAC ID: 1557736089 Enrollment ID: I20230413002762 |
Provider Name | Hannah Elizabeth Gill |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598481327 PECOS PAC ID: 3274998240 Enrollment ID: I20230426000726 |
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