| Goodwill Industries Of Fayette County | |
|
690 W Main St Uniontown PA 15401-2648 | |
| (724) 439-9311 | |
| Not Available |
| Full Name | Goodwill Industries Of Fayette County |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 690 W Main St, Uniontown, Pennsylvania |
| Authorized Official Name and Position | Jacqueline Mitchell (VICE PRESIDENT OF AFFILIATE OPERATI) |
| Authorized Official Contact | 7244379878 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Goodwill Industries Of Fayette County 44 Connellsville Street Uniontown PA 15401 Ph: (724) 437-9878 | Goodwill Industries Of Fayette County 690 W Main St Uniontown PA 15401-2648 Ph: (724) 439-9311 |
| NPI Number | 1194875682 |
|---|---|
| Provider Enumeration Date | 01/10/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194875682 | NPI | - | NPPES |
| 472028 | Other | PA | VALUEOPTIONS PROVIDER NUM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 416340 (Pennsylvania) | Primary |
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