| |
2580 Constitution Blvd Beaver Falls PA 15010-1294 | |
(724) 773-6840 | |
(724) 770-7967 |
Full Name | |
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Speciality | Family Medicine |
Location | 2580 Constitution Blvd, Beaver Falls, Pennsylvania |
Authorized Official Name and Position | Norman Mitry (PRESIDENT & CEO) |
Authorized Official Contact | 7247734776 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2580 Constitution Blvd Beaver Falls PA 15010-1294 Ph: (724) 773-6840 | 2580 Constitution Blvd Beaver Falls PA 15010-1294 Ph: (724) 773-6840 |
NPI Number | 1447402235 |
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Provider Enumeration Date | 10/13/2008 |
Last Update Date | 05/01/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447402235 | NPI | - | NPPES |
0015654460023 | Medicaid | PA | |
0202677 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Tri-state Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Chippewa Town Ctr., Heritage Valley Convenient Care-beaver Falls, Beaver Falls, PA 15010 Phone: 724-774-2942 Fax: 724-774-5175 | |
Talktime Speech Therapy, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2620 Constitution Blvd Ste 202, Beaver Falls, PA 15010 Phone: 724-846-8255 Fax: 724-647-1232 | |