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82 Town Run Rd Fairmount City PA 16224-1502 | |
(814) 275-1600 | |
(814) 275-1610 |
Full Name | |
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Speciality | Clinic/Center |
Location | 82 Town Run Rd, Fairmount City, Pennsylvania |
Authorized Official Name and Position | Karen Allen (PRESIDENT BUTLER/CLARION) |
Authorized Official Contact | 7242836666 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 1549 Butler PA 16003-1549 Ph: (724) 284-4060 | 82 Town Run Rd Fairmount City PA 16224-1502 Ph: (814) 275-1600 |
NPI Number | 1386253854 |
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Provider Enumeration Date | 07/30/2020 |
Last Update Date | 08/28/2024 |
Medicare PECOS PAC ID | 7416840160 |
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Medicare Enrollment ID | O20210908002263 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386253854 | NPI | - | NPPES |
001644521-0133 | Medicaid | PA | |
4572039 | Other | PA | BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |