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300 Medical Arts Bldg Ste 300 Kittanning PA 16201-7129 | |
(724) 545-1288 | |
(724) 545-7615 |
Full Name | |
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Speciality | Clinic/Center |
Location | 300 Medical Arts Bldg Ste 300, 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: (724) 543-8500 | 300 Medical Arts Bldg Ste 300 Kittanning PA 16201-7129 Ph: (724) 545-1288 |
NPI Number | 1235582552 |
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Provider Enumeration Date | 07/21/2016 |
Last Update Date | 08/29/2024 |
Medicare PECOS PAC ID | 9335051663 |
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Medicare Enrollment ID | O20170412000515 |
Identifier | Type | State | Issuer |
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1235582552 | 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 | |