Divine Mercy Catholic Academy West | |
430 Tioga St Johnstown PA 15905-2346 | |
(814) 535-2277 | |
Not Available |
Full Name | Divine Mercy Catholic Academy West |
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Speciality | Community/behavioral Health |
Location | 430 Tioga St, Johnstown, Pennsylvania |
Authorized Official Name and Position | Frank J Janakovic (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 8145352277 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Divine Mercy Catholic Academy West 131 Market St Johnstown PA 15901-1628 Ph: (814) 535-2277 | Divine Mercy Catholic Academy West 430 Tioga St Johnstown PA 15905-2346 Ph: (814) 535-2277 |
NPI Number | 1326566472 |
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Provider Enumeration Date | 09/08/2017 |
Last Update Date | 09/08/2017 |
Identifier | Type | State | Issuer |
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1326566472 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 315680 (Pennsylvania) | Primary |
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