| |
7546 Route 30 1st Floor Irwin PA 15642-7528 | |
(724) 765-1030 | |
(724) 765-1023 |
Full Name | |
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Speciality | Internal Medicine |
Location | 7546 Route 30, Irwin, Pennsylvania |
Authorized Official Name and Position | Denise Noel (DIRECTOR PROVIDER ENROLLMENT) |
Authorized Official Contact | 4123305861 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4 Allegheny Ctr Fl 71 Pittsburgh PA 15212-5255 Ph: (412) 330-5861 | 7546 Route 30 1st Floor Irwin PA 15642-7528 Ph: (724) 765-1030 |
NPI Number | 1659707644 |
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Provider Enumeration Date | 09/23/2013 |
Last Update Date | 11/06/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659707644 | NPI | - | NPPES |
1007317140432 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Emilio Villegas, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Pennsylvania Ave, Irwin, PA 15642 Phone: 724-863-1204 Fax: 724-863-9169 | |
Irwin Eye Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 511 Main St, Irwin, PA 15642 Phone: 724-863-3116 Fax: 724-863-2489 |