| Sphs Care Center | |
|
75 E Maiden St Ste 100 Washington PA 15301-4963 | |
| (724) 228-2200 | |
| (724) 228-2277 |
| Full Name | Sphs Care Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 75 E Maiden St Ste 100, Washington, Pennsylvania |
| Authorized Official Name and Position | Dawn Lucas (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7242282200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sphs Care Center 75 E Maiden St Ste 100 Washington PA 15301-4963 Ph: (724) 228-2200 | Sphs Care Center 75 E Maiden St Ste 100 Washington PA 15301-4963 Ph: (724) 228-2200 |
| NPI Number | 1528103488 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 02/21/2024 |
| Certification Date | 02/21/2024 |
| Medicare PECOS PAC ID | 4385928068 |
|---|---|
| Medicare Enrollment ID | O20170223002245 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528103488 | NPI | - | NPPES |
| 1007593950007 | Medicaid | PA |
| Provider Name | Scott Cook |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841255296 PECOS PAC ID: 7012907231 Enrollment ID: I20040518000452 |
| Provider Name | Ravindranath Kolli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093709040 PECOS PAC ID: 3274585781 Enrollment ID: I20050214000039 |
| Provider Name | Ronald G Garbutt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790776979 PECOS PAC ID: 2062427149 Enrollment ID: I20060210000113 |
| Provider Name | Bonnie L Popso |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720145428 PECOS PAC ID: 0345259313 Enrollment ID: I20060419000620 |
| Provider Name | Julie A Garbutt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720077092 PECOS PAC ID: 5193738441 Enrollment ID: I20060803000216 |
| Provider Name | Lawrence J Zelonis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427147503 PECOS PAC ID: 8426173733 Enrollment ID: I20100909001077 |
| Provider Name | Jason D Lukasewicz |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1578692612 PECOS PAC ID: 6608022900 Enrollment ID: I20120801000669 |
| Provider Name | Shaun Stanley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619311834 PECOS PAC ID: 6305149782 Enrollment ID: I20190830001624 |
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