Ebensburg Health Center | |
152 Zeman Drive Suite 301 Ebensburg PA 15931-4130 | |
(724) 704-8886 | |
(724) 342-1942 |
Full Name | Ebensburg Health Center |
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Speciality | Clinic/Center |
Location | 152 Zeman Drive, Ebensburg, Pennsylvania |
Authorized Official Name and Position | Carl A Sizer (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 7243420126 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ebensburg Health Center 63 Pitt St Sharon PA 16146-2102 Ph: (724) 342-3002 | Ebensburg Health Center 152 Zeman Drive Suite 301 Ebensburg PA 15931-4130 Ph: (724) 704-8886 |
NPI Number | 1043711385 |
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Provider Enumeration Date | 02/22/2018 |
Last Update Date | 05/03/2024 |
Medicare PECOS PAC ID | 9234046228 |
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Medicare Enrollment ID | O20180319002145 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043711385 | NPI | - | NPPES |
1007578460127 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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