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10261 State Route 85 Kittanning PA 16201-8165 | |
(724) 783-7124 | |
(724) 783-7999 |
Full Name | |
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Speciality | Clinic/Center |
Location | 10261 State Route 85, Kittanning, Pennsylvania |
Authorized Official Name and Position | Matthew Kociola (CFO) |
Authorized Official Contact | 7245438500 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1 Nolte Dr Kittanning PA 16201-7111 Ph: (245) 438-5007 | 10261 State Route 85 Kittanning PA 16201-8165 Ph: (724) 783-7124 |
NPI Number | 1922323666 |
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Provider Enumeration Date | 04/06/2010 |
Last Update Date | 08/29/2024 |
Medicare PECOS PAC ID | 9335051663 |
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Medicare Enrollment ID | O20101122000733 |
Identifier | Type | State | Issuer |
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1922323666 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Richard A. Mercurio Md, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 198 Westgate Drive, Suite 101a, Kittanning, PA 16201 Phone: 724-543-1735 | |
Frederick B Doerfler Jr Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 260 S Jefferson St, Kittanning, PA 16201 Phone: 724-545-1288 Fax: 724-545-7615 | |