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8904 Clearfield Curwensville Hwy Clearfield PA 16830-3520 | |
| (814) 205-4077 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 8904 Clearfield Curwensville Hwy, Clearfield, Pennsylvania |
| Authorized Official Name and Position | Keith Miller (DIRECTOR) |
| Authorized Official Contact | 8142054077 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 209 Clearfield PA 16830-0209 Ph: (814) 205-4077 | 8904 Clearfield Curwensville Hwy Clearfield PA 16830-3520 Ph: (814) 205-4077 |
| NPI Number | 1669185112 |
|---|---|
| Provider Enumeration Date | 12/29/2022 |
| Last Update Date | 08/09/2024 |
| Certification Date | 08/09/2024 |
| Medicare PECOS PAC ID | 5496293359 |
|---|---|
| Medicare Enrollment ID | O20240812000040 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669185112 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Katie Bell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063102895 PECOS PAC ID: 8325497365 Enrollment ID: I20240209000477 |
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