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104 Metoxet Street Ridgway PA 15853 | |
(814) 788-5555 | |
(814) 788-5655 |
Full Name | |
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Speciality | General Practice |
Location | 104 Metoxet Street, Ridgway, Pennsylvania |
Authorized Official Name and Position | Jamie L Yount (ADMINISTRATOR) |
Authorized Official Contact | 8147888615 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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763 Johnsonburg Road Erhc Med Express St. Marys PA 15857 Ph: (814) 788-8580 | 104 Metoxet Street Ridgway PA 15853 Ph: (814) 788-5555 |
NPI Number | 1487874640 |
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Provider Enumeration Date | 04/27/2007 |
Last Update Date | 09/03/2013 |
Identifier | Type | State | Issuer |
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1487874640 | NPI | - | NPPES |
1007292600030 | Medicaid | PA |
Fernan Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 S. Mill St., Ridgway, PA 15853 Phone: 814-772-0722 Fax: 814-772-6934 |