East Liberty Family Health Care Center | |
7171 Churchland St Pittsburgh PA 15206-1217 | |
(412) 345-0414 | |
Not Available |
Full Name | East Liberty Family Health Care Center |
---|---|
Speciality | Non-pharmacy Dispensing Site |
Location | 7171 Churchland St, Pittsburgh, Pennsylvania |
Authorized Official Name and Position | Lynne Medley-long (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 4123618284 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
East Liberty Family Health Care Center 7171 Churchland St Pittsburgh PA 15206-1217 Ph: (412) 345-0414 | East Liberty Family Health Care Center 7171 Churchland St Pittsburgh PA 15206-1217 Ph: (412) 345-0414 |
NPI Number | 1982738753 |
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Provider Enumeration Date | 03/15/2007 |
Last Update Date | 10/21/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982738753 | NPI | - | NPPES |
3979955 | Other | PA | NCDP |
1007524920002 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Secondary |
332900000X | Non-pharmacy Dispensing Site | MD024454E (Pennsylvania) | Primary |
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