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1490 N Center Ave Suite 100 Somerset PA 15501-1691 | |
(814) 443-4740 | |
(814) 443-4749 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1490 N Center Ave, Somerset, Pennsylvania |
Authorized Official Name and Position | Joy Kimball (CONTRACT MANAGER) |
Authorized Official Contact | 7633496740 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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423 Fortress Blvd Morgantown WV 26508-1351 Ph: (304) 225-2500 | 1490 N Center Ave Suite 100 Somerset PA 15501-1691 Ph: (814) 443-4740 |
NPI Number | 1164766440 |
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Provider Enumeration Date | 11/27/2012 |
Last Update Date | 05/01/2024 |
Medicare PECOS PAC ID | 8224181482 |
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Medicare Enrollment ID | O20151029003042 |
Identifier | Type | State | Issuer |
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1164766440 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
Emiliano L Limcuando Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 S Center Ave, Somerset, PA 15501 Phone: 814-445-4181 Fax: 814-445-3993 | |
Laurel Highlands Internal Medicine Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 226 E Church Street, Somerset, PA 15501 Phone: 814-443-1028 Fax: 814-443-2910 | |