Conemaugh Physician Group - Ebensburg Primary Care | |
861 Hills Plz Ste 140 Ebensburg PA 15931-4211 | |
(814) 471-9005 | |
(814) 471-9007 |
Full Name | Conemaugh Physician Group - Ebensburg Primary Care |
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Speciality | Clinic/Center |
Location | 861 Hills Plz Ste 140, Ebensburg, Pennsylvania |
Authorized Official Name and Position | Charlotte Lawrence (SECRETARY) |
Authorized Official Contact | 6159207000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Conemaugh Physician Group - Ebensburg Primary Care 330 Seven Springs Way Brentwood TN 37027-5098 Ph: (615) 920-7000 | Conemaugh Physician Group - Ebensburg Primary Care 861 Hills Plz Ste 140 Ebensburg PA 15931-4211 Ph: (814) 471-9005 |
NPI Number | 1356122329 |
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Provider Enumeration Date | 10/06/2023 |
Last Update Date | 10/10/2024 |
Medicare PECOS PAC ID | 7315166949 |
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Medicare Enrollment ID | O20231107000618 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356122329 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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