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63 S Main St Mansfield PA 16933-1501 | |
| (570) 662-7766 | |
| (570) 662-0348 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 63 S Main St, Mansfield, Pennsylvania |
| Authorized Official Name and Position | Joseph A. Scopelliti (PRESIDENT) |
| Authorized Official Contact | 5708885858 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1 Guthrie Sq Sayre PA 18840-1625 Ph: (570) 888-5858 | 63 S Main St Mansfield PA 16933-1501 Ph: (570) 662-7766 |
| NPI Number | 1538118732 |
|---|---|
| Provider Enumeration Date | 05/08/2006 |
| Last Update Date | 02/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538118732 | NPI | - | NPPES |
| GU707456 | Other | PA | HIGHMARK BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 291U00000X | Clinical Medical Laboratory | (* (Not Available)) | Secondary |
Northern Tier Counseling Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8 S Main St, Mansfield, PA 16933 Phone: 570-265-0100 Fax: 570-265-6741 | |
Wellspring Community Support Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3rd & St. James Street, St. James Complex #206b, Mansfield, PA 16933 Phone: 570-662-2821 Fax: 570-662-2822 | |