| Sewickley Valley Hospital, Staunton Clinic | |
|
119 Vip Dr Staunton Clinic- Wexford Wexford PA 15090-7976 | |
| (724) 935-5177 | |
| Not Available |
| Full Name | Sewickley Valley Hospital, Staunton Clinic |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 119 Vip Dr, Wexford, Pennsylvania |
| Authorized Official Name and Position | Robert M Rosenberger (CFO) |
| Authorized Official Contact | 7247734730 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sewickley Valley Hospital, Staunton Clinic 119 Vip Dr Staunton Clinic- Wexford Wexford PA 15090-7976 Ph: (724) 935-5177 | Sewickley Valley Hospital, Staunton Clinic 119 Vip Dr Staunton Clinic- Wexford Wexford PA 15090-7976 Ph: (724) 935-5177 |
| NPI Number | 1992847354 |
|---|---|
| Provider Enumeration Date | 02/13/2007 |
| Last Update Date | 06/11/2021 |
| Certification Date | 06/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992847354 | NPI | - | NPPES |
| 1000033550173 | Medicaid | PA | |
| 0924 | Other | PA | HIGHMARK BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 940070 (Pennsylvania) | Primary |
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