| Diana Hricova Do Llc | |
|
1290 Chess St Ste 2 Monongahela PA 15063-2747 | |
| (242) 587-5007 | |
| (724) 258-3618 |
| Full Name | Diana Hricova Do Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1290 Chess St Ste 2, Monongahela, Pennsylvania |
| Authorized Official Name and Position | Diana Hricova (OWNER) |
| Authorized Official Contact | 7242587500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diana Hricova Do Llc 1290 Chess St Ste 2 Monongahela PA 15063-2747 Ph: (242) 587-5007 | Diana Hricova Do Llc 1290 Chess St Ste 2 Monongahela PA 15063-2747 Ph: (242) 587-5007 |
| NPI Number | 1649959479 |
|---|---|
| Provider Enumeration Date | 07/18/2023 |
| Last Update Date | 07/18/2023 |
| Medicare PECOS PAC ID | 7113375189 |
|---|---|
| Medicare Enrollment ID | O20231130004062 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649959479 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Henry Ernest Holets |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083638043 PECOS PAC ID: 1355338823 Enrollment ID: I20110103000869 |
| Provider Name | Diana Hricova |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609367382 PECOS PAC ID: 8527315472 Enrollment ID: I20210720000011 |
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