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29 Saltsburg Rd Clarksburg PA 15725-7400 | |
(724) 726-0300 | |
(724) 726-8812 |
Full Name | |
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Speciality | Clinic/Center |
Location | 29 Saltsburg Rd, Clarksburg, 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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63 Pitt St Sharon PA 16146-2102 Ph: (724) 342-3002 | 29 Saltsburg Rd Clarksburg PA 15725-7400 Ph: (724) 726-0300 |
NPI Number | 1730386467 |
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Provider Enumeration Date | 06/27/2007 |
Last Update Date | 05/03/2024 |
Medicare PECOS PAC ID | 9234046228 |
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Medicare Enrollment ID | O20041022000643 |
Identifier | Type | State | Issuer |
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1730386467 | NPI | - | NPPES |
1007578460071 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |