Full Name | |
---|---|
Speciality | Family Medicine |
Location | 905 Spruce St, Irwin, Pennsylvania |
Authorized Official Name and Position | Kirk L Miller (VP, PHYS SERV & EXEC DIR, EHPP, INC) |
Authorized Official Contact | 7248308500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
134 Industrial Park Rd Ste 2300a Greensburg PA 15601-7328 Ph: (724) 689-1810 | 905 Spruce St Irwin PA 15642-3683 Ph: (724) 864-9595 |
NPI Number | 1972878551 |
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Provider Enumeration Date | 03/15/2012 |
Last Update Date | 03/15/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972878551 | NPI | - | NPPES |
001562186 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family 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 |