| Alley Medical Center | |
|
301w 3rd Street Berwick PA 18603 | |
| (570) 759-0351 | |
| (570) 759-1992 |
| Full Name | Alley Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 301w 3rd Street, Berwick, Pennsylvania |
| Authorized Official Name and Position | Albert Joseph Alley (OWNER MEDICAL DIRECTOR) |
| Authorized Official Contact | 5707590351 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alley Medical Center 301w 3rd Street Berwick PA 18603 Ph: (570) 759-0351 | Alley Medical Center 301w 3rd Street Berwick PA 18603 Ph: (570) 759-0351 |
| NPI Number | 1962479717 |
|---|---|
| Provider Enumeration Date | 03/01/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7416858022 |
|---|---|
| Medicare Enrollment ID | O20040116000530 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962479717 | NPI | - | NPPES |
| 03161300 | Other | BC | |
| 1007302700004 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Mark G Brown |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770585721 PECOS PAC ID: 7810946530 Enrollment ID: I20050119000928 |
| Provider Name | Randall M Saylor |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144296443 PECOS PAC ID: 6709781701 Enrollment ID: I20050302000107 |
| Provider Name | Joseph Anthony Zacher |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316917305 PECOS PAC ID: 7214976620 Enrollment ID: I20050426000670 |
| Provider Name | Brandon W. Chan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215957485 PECOS PAC ID: 2163412610 Enrollment ID: I20051212000104 |
| Provider Name | Albert J Alley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417924267 PECOS PAC ID: 6608919485 Enrollment ID: I20100202000239 |
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