| Canadohta Lake Health Center | |
|
35255 Brown Hill Rd Union City PA 16438 | |
| (814) 694-2339 | |
| (814) 694-2176 |
| Full Name | Canadohta Lake Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 35255 Brown Hill Rd, Union City, Pennsylvania |
| Authorized Official Name and Position | Patricia M Balmer (OFFICE MANAGER) |
| Authorized Official Contact | 8146547334 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Canadohta Lake Health Center Po Box 211 Spartansburg PA 16434 Ph: (814) 654-7334 | Canadohta Lake Health Center 35255 Brown Hill Rd Union City PA 16438 Ph: (814) 694-2339 |
| NPI Number | 1073672341 |
|---|---|
| Provider Enumeration Date | 12/06/2006 |
| Last Update Date | 12/20/2019 |
| Medicare PECOS PAC ID | 9133039407 |
|---|---|
| Medicare Enrollment ID | O20030530000062 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073672341 | NPI | - | NPPES |
| 001511070 | Medicaid | PA | |
| 870298 | Other | PA | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Corry Memorial Hospital Association Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 E High St, Union City, PA 16438 Phone: 814-664-4641 | |
Union City Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 N Main St, Union City, PA 16438 Phone: 814-438-7208 Fax: 814-438-8062 |