Glendale Area Medical Center | |
850 Main Street Coalport PA 16627-0375 | |
(814) 672-5141 | |
(814) 672-5461 |
Full Name | Glendale Area Medical Center |
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Speciality | Clinic/Center |
Location | 850 Main Street, Coalport, Pennsylvania |
Authorized Official Name and Position | Scott Vinglas (CEO) |
Authorized Official Contact | 8146725141 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Glendale Area Medical Center 850 Main Street P.o. Box 375 Coalport PA 16627-0375 Ph: (814) 672-5141 | Glendale Area Medical Center 850 Main Street Coalport PA 16627-0375 Ph: (814) 672-5141 |
NPI Number | 1255300596 |
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Provider Enumeration Date | 03/17/2006 |
Last Update Date | 04/02/2024 |
Medicare PECOS PAC ID | 9335187756 |
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Medicare Enrollment ID | O20050418000539 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255300596 | NPI | - | NPPES |
CA 1965 | Other | PA | RAILROAD MEDICARE |
391822 | Other | PA | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Provider Name | Brian R Oberneder |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1578502381 PECOS PAC ID: 1355245812 Enrollment ID: I20031125000765 |
Provider Name | Jay A Robinson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1811972995 PECOS PAC ID: 0840453361 Enrollment ID: I20120521000478 |
Provider Name | Sohail Shariff |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1194730929 PECOS PAC ID: 2567466576 Enrollment ID: I20200922003293 |