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7160 Mason Dixon Highway Meyersdale PA 15552-7286 | |
(814) 634-5935 | |
(814) 634-9140 |
Full Name | |
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Speciality | Clinic/Center |
Location | 7160 Mason Dixon Highway, Meyersdale, Pennsylvania |
Authorized Official Name and Position | Charlotte Lawrence (SECRETARY) |
Authorized Official Contact | 6159207000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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330 Seven Springs Way Brentwood TN 37027-4536 Ph: (615) 920-7000 | 7160 Mason Dixon Highway Meyersdale PA 15552-7286 Ph: (814) 634-5935 |
NPI Number | 1992970891 |
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Provider Enumeration Date | 04/23/2008 |
Last Update Date | 04/29/2024 |
Medicare PECOS PAC ID | 0446470041 |
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Medicare Enrollment ID | O20141002001314 |
Identifier | Type | State | Issuer |
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1992970891 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | 391101 (Pennsylvania) | Primary |
Conemaugh Health Initiatives Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 Beachley St, Meyersdale, PA 15552 Phone: 814-634-5945 Fax: 814-634-9140 | |