Full Name | |
---|---|
Speciality | Family Medicine |
Location | 231 Ord Street, Salisbury, Pennsylvania |
Authorized Official Name and Position | Mary L Libengood (PRESIDENT) |
Authorized Official Contact | 8146345911 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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200 Hospital Dr Meyersdale PA 15552-1249 Ph: () - | 231 Ord Street Salisbury PA 15558 Ph: (814) 662-2755 |
NPI Number | 1679703516 |
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Provider Enumeration Date | 07/24/2009 |
Last Update Date | 08/12/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679703516 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |