| Colonial Clinic | |
|
706 Ekastown Rd Sarver PA 16055-9724 | |
| (724) 353-1508 | |
| (724) 353-2040 |
| Full Name | Colonial Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 706 Ekastown Rd, Sarver, Pennsylvania |
| Authorized Official Name and Position | Cecili R Jones (ANALYST) |
| Authorized Official Contact | 4123304813 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Colonial Clinic 706 Ekastown Rd Sarver PA 16055-9724 Ph: (724) 353-1508 | Colonial Clinic 706 Ekastown Rd Sarver PA 16055-9724 Ph: (724) 353-1508 |
| NPI Number | 1003242140 |
|---|---|
| Provider Enumeration Date | 09/20/2013 |
| Last Update Date | 06/25/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003242140 | NPI | - | NPPES |
| 100731714 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Colonial Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 706 Ekastown Rd, Sarver, PA 16055 Phone: 724-353-1508 | |
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