| |
289 Mcclellandtown Rd Uniontown PA 15401-3107 | |
(724) 439-3627 | |
(724) 439-0489 |
Full Name | |
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Speciality | Clinic/Center |
Location | 289 Mcclellandtown Rd, Uniontown, 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 | 289 Mcclellandtown Rd Uniontown PA 15401-3107 Ph: (724) 439-3627 |
NPI Number | 1689948077 |
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Provider Enumeration Date | 03/02/2012 |
Last Update Date | 05/01/2024 |
Medicare PECOS PAC ID | 8224181482 |
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Medicare Enrollment ID | O20120622000257 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689948077 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Pennsylvania) | Secondary |
261QU0200X | Clinic/center - Urgent Care | (Pennsylvania) | Primary |
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