Green Street Primary Care | |
2000 Green St Farrell PA 16121-1364 | |
(724) 342-6900 | |
(724) 342-6905 |
Full Name | Green Street Primary Care |
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Speciality | Clinic/Center |
Location | 2000 Green St, Farrell, Pennsylvania |
Authorized Official Name and Position | Carl A Sizer (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 7243420126 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Green Street Primary Care 63 Pitt St Sharon PA 16146-2102 Ph: (724) 342-3002 | Green Street Primary Care 2000 Green St Farrell PA 16121-1364 Ph: (724) 342-6900 |
NPI Number | 1275730202 |
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Provider Enumeration Date | 07/02/2007 |
Last Update Date | 07/11/2024 |
Medicare PECOS PAC ID | 9234046228 |
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Medicare Enrollment ID | O20031125000721 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275730202 | NPI | - | NPPES |
1007578460069 | Medicaid | PA | |
2590450 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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