| Chi Ebandjieffparkhill | |
|
1060 Lloyd St Nanty Glo PA 15943-1232 | |
| (814) 749-8624 | |
| (814) 749-8248 |
| Full Name | Chi Ebandjieffparkhill |
|---|---|
| Speciality | Family Medicine |
| Location | 1060 Lloyd St, Nanty Glo, Pennsylvania |
| Authorized Official Name and Position | Elaine M Lambert (PRESIDENT) |
| Authorized Official Contact | 8145341630 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chi Ebandjieffparkhill 1086 Franklin St Johnstown PA 15905-4305 Ph: (814) 410-8300 | Chi Ebandjieffparkhill 1060 Lloyd St Nanty Glo PA 15943-1232 Ph: (814) 749-8624 |
| NPI Number | 1093810483 |
|---|---|
| Provider Enumeration Date | 09/13/2006 |
| Last Update Date | 09/26/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093810483 | NPI | - | NPPES |
| CB9772 | Other | PA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Chi Ebandjieff / Prkhill Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1060 Lloyd St, Nanty Glo, PA 15943 Phone: 814-749-8624 | |
Ebandjieff Community Health Center-rhc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1060 Lloyd St, Nanty Glo, PA 15943 Phone: 814-749-8624 Fax: 814-749-8248 |