| Windber Provider Group | |
|
600 Somerset Ave Windber PA 15963-1331 | |
| (814) 467-3080 | |
| (814) 467-3097 |
| Full Name | Windber Provider Group |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 600 Somerset Ave, Windber, Pennsylvania |
| Authorized Official Name and Position | Tom Kurtz (PRESIDENT / CEO) |
| Authorized Official Contact | 8144673702 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Windber Provider Group 600 Somerset Ave Windber PA 15963-1331 Ph: (814) 467-3080 | Windber Provider Group 600 Somerset Ave Windber PA 15963-1331 Ph: (814) 467-3080 |
| NPI Number | 1770880098 |
|---|---|
| Provider Enumeration Date | 02/23/2011 |
| Last Update Date | 06/10/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770880098 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CW003552L (Pennsylvania) | Primary |
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