| |
348 Main St Greenville PA 16125-2608 | |
(724) 588-5250 | |
(724) 588-5253 |
Full Name | |
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Speciality | Clinic/Center |
Location | 348 Main St, Greenville, 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 |
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63 Pitt St Sharon PA 16146-2102 Ph: (724) 342-3002 | 348 Main St Greenville PA 16125-2608 Ph: (724) 588-5250 |
NPI Number | 1093946626 |
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Provider Enumeration Date | 07/30/2009 |
Last Update Date | 02/15/2024 |
Medicare PECOS PAC ID | 9234046228 |
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Medicare Enrollment ID | O20091119000550 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093946626 | NPI | - | NPPES |
0089923 | Medicaid | OH | |
1007578460096 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Pennsylvania) | Primary |
Adagio Health Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 74 Shenango St, Greenville, PA 16125 Phone: 724-588-2272 Fax: 724-588-4187 | |