Westfield Laurel Health Center | |
236 E Main St Westfield Laurel Health Center Westfield PA 16950-1607 | |
(814) 367-5911 | |
(814) 367-2791 |
Full Name | Westfield Laurel Health Center |
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Speciality | Clinic/Center |
Location | 236 E Main St, Westfield, Pennsylvania |
Authorized Official Name and Position | Angela M. Vanzile (CREDENTIALING COORDINATOR) |
Authorized Official Contact | 5706621945 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Westfield Laurel Health Center 6a Riverside Plz Blossburg PA 16912-1137 Ph: (570) 662-1945 | Westfield Laurel Health Center 236 E Main St Westfield Laurel Health Center Westfield PA 16950-1607 Ph: (814) 367-5911 |
NPI Number | 1366524241 |
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Provider Enumeration Date | 10/19/2006 |
Last Update Date | 11/16/2020 |
Medicare PECOS PAC ID | 0446245880 |
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Medicare Enrollment ID | O20050516000739 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366524241 | NPI | - | NPPES |
1000011720040 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Westfield Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 222 Church Street, Westfield, PA 16950 Phone: 814-367-5971 |