Mount Union Area Medical Center | |
95 S Park St Mount Union PA 17066-1334 | |
(815) 542-8627 | |
(814) 542-5444 |
Full Name | Mount Union Area Medical Center |
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Speciality | Clinic/Center |
Location | 95 S Park St, Mount Union, Pennsylvania |
Authorized Official Name and Position | John Roth (CEO) |
Authorized Official Contact | 8146352916 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mount Union Area Medical Center Po Box 127 Broad Top PA 16621-0127 Ph: (814) 635-7351 | Mount Union Area Medical Center 95 S Park St Mount Union PA 17066-1334 Ph: (815) 542-8627 |
NPI Number | 1174039408 |
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Provider Enumeration Date | 12/22/2017 |
Last Update Date | 04/22/2021 |
Medicare PECOS PAC ID | 2860430972 |
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Medicare Enrollment ID | O20180219001768 |
Identifier | Type | State | Issuer |
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1174039408 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Mount Union Area Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 S Park St, Mount Union, PA 17066 Phone: 814-542-8627 Fax: 814-542-5444 |