Hoffman Memorial Medical Center | |
419 Kellys Way East Brady PA 16028 | |
(724) 526-5600 | |
(724) 526-3289 |
Full Name | Hoffman Memorial Medical Center |
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Speciality | Clinic/Center |
Location | 419 Kellys Way, East Brady, 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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Hoffman Memorial Medical Center 100 Shenango Ave Sharon PA 16146-1503 Ph: (724) 342-3002 | Hoffman Memorial Medical Center 419 Kellys Way East Brady PA 16028 Ph: (724) 526-5600 |
NPI Number | 1265639553 |
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Provider Enumeration Date | 06/29/2007 |
Last Update Date | 05/03/2024 |
Medicare PECOS PAC ID | 9234046228 |
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Medicare Enrollment ID | O20080828000634 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265639553 | NPI | - | NPPES |
1007578460023 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
332900000X | Non-pharmacy Dispensing Site | (Pennsylvania) | Secondary |