Hvmg West Allegheny Healthcare | |
300 Penn Lincoln Dr Imperial PA 15126-9772 | |
(724) 695-2411 | |
Not Available |
Full Name | Hvmg West Allegheny Healthcare |
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Speciality | Family Medicine |
Location | 300 Penn Lincoln Dr, Imperial, Pennsylvania |
Authorized Official Name and Position | Norman F. 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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Hvmg West Allegheny Healthcare 300 Penn Lincoln Dr Imperial PA 15126-9772 Ph: (724) 695-2411 | Hvmg West Allegheny Healthcare 300 Penn Lincoln Dr Imperial PA 15126-9772 Ph: (724) 695-2411 |
NPI Number | 1285886861 |
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Provider Enumeration Date | 10/15/2008 |
Last Update Date | 06/29/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285886861 | NPI | - | NPPES |
0014950830029 | Medicaid | PA | |
2297465 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |