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846 Medical Center Dr Alexandria PA 16611-2936 | |
(814) 667-7400 | |
(814) 667-7395 |
Full Name | |
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Speciality | Clinic/Center |
Location | 846 Medical Center Dr, Alexandria, Pennsylvania |
Authorized Official Name and Position | Shani Reed (ENROLLMENT DIRECTOR) |
Authorized Official Contact | 8145068463 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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4133 Medical Center Dr Broad Top PA 16621-9001 Ph: (814) 635-2916 | 846 Medical Center Dr Alexandria PA 16611-2936 Ph: (814) 667-7400 |
NPI Number | 1437878667 |
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Provider Enumeration Date | 08/23/2022 |
Last Update Date | 11/15/2022 |
Medicare PECOS PAC ID | 2860430972 |
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Medicare Enrollment ID | O20221128002146 |
Identifier | Type | State | Issuer |
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1437878667 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |