| |
100 Pennsylvania Ave Irwin PA 15642-3552 | |
(724) 863-1204 | |
(724) 863-9169 |
Full Name | |
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Speciality | Family Medicine - Adult Medicine |
Location | 100 Pennsylvania Ave, Irwin, Pennsylvania |
Authorized Official Name and Position | Cecili R Jones (ENROLLMENT SPECIALIST) |
Authorized Official Contact | 4123304813 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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100 Pennsylvania Ave Irwin PA 15642-3552 Ph: (724) 863-1204 | 100 Pennsylvania Ave Irwin PA 15642-3552 Ph: (724) 863-1204 |
NPI Number | 1932356201 |
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Provider Enumeration Date | 08/19/2008 |
Last Update Date | 03/26/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932356201 | NPI | - | NPPES |
1015269880005 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
Emilio Villegas, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Pennsylvania Ave, Irwin, PA 15642 Phone: 724-863-1204 Fax: 724-863-9169 | |
Irwin Eye Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 511 Main St, Irwin, PA 15642 Phone: 724-863-3116 Fax: 724-863-2489 |