| |
1302 7th Ave Beaver Falls PA 15010-4217 | |
(724) 843-4010 | |
(724) 846-0588 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1302 7th Ave, Beaver Falls, Pennsylvania |
Authorized Official Name and Position | Carl A Sizer (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 7243420126 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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63 Pitt St Sharon PA 16146-2102 Ph: (724) 342-3002 | 1302 7th Ave Beaver Falls PA 15010-4217 Ph: (724) 843-4010 |
NPI Number | 1477750123 |
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Provider Enumeration Date | 06/27/2007 |
Last Update Date | 07/11/2024 |
Medicare PECOS PAC ID | 9234046228 |
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Medicare Enrollment ID | O20080828000640 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477750123 | NPI | - | NPPES |
1007578460029 | Medicaid | PA | |
2626528 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Tri-state Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Chippewa Town Ctr., Heritage Valley Convenient Care-beaver Falls, Beaver Falls, PA 15010 Phone: 724-774-2942 Fax: 724-774-5175 | |
Talktime Speech Therapy, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2620 Constitution Blvd Ste 202, Beaver Falls, PA 15010 Phone: 724-846-8255 Fax: 724-647-1232 | |