| Nulton Diagnostic And Treatment Center | |
|
608 East Pitt Street Bedford PA 15522 | |
| (814) 624-3121 | |
| Not Available |
| Full Name | Nulton Diagnostic And Treatment Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 608 East Pitt Street, Bedford, Pennsylvania |
| Authorized Official Name and Position | Larry J Nulton (CEO) |
| Authorized Official Contact | 8142620025 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nulton Diagnostic And Treatment Center 608 East Pitt Street Bedford PA 16601 Ph: (814) 624-3121 | Nulton Diagnostic And Treatment Center 608 East Pitt Street Bedford PA 15522 Ph: (814) 624-3121 |
| NPI Number | 1538370614 |
|---|---|
| Provider Enumeration Date | 05/24/2007 |
| Last Update Date | 12/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538370614 | NPI | - | NPPES |
| 1007324900002 | Medicaid | PA | |
| 1007324900016 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 312180, 312170 (Pennsylvania) | Primary |
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