| Staunton Clinic, Beaver Falls | |
|
1125 7th Avenue Family Practice Center Beaver Falls PA 15010-4426 | |
| (724) 773-8970 | |
| Not Available |
| Full Name | Staunton Clinic, Beaver Falls |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1125 7th Avenue, Beaver Falls, Pennsylvania |
| Authorized Official Name and Position | Bryan J. Randall (VICE PRESIDENT/CFO) |
| Authorized Official Contact | 4127497027 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Staunton Clinic, Beaver Falls 1125 7th Avenue Family Medicine Clinic Beaver Falls PA 15010-4426 Ph: (724) 773-8970 | Staunton Clinic, Beaver Falls 1125 7th Avenue Family Practice Center Beaver Falls PA 15010-4426 Ph: (724) 773-8970 |
| NPI Number | 1194011296 |
|---|---|
| Provider Enumeration Date | 06/27/2011 |
| Last Update Date | 06/27/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194011296 | NPI | - | NPPES |
| 0915 | Other | PA | HIGHMARK |
| 100003355 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 135701 (Pennsylvania) | Primary |
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