| Medical Associates Of Boswell | |
|
136 S Pine Ave Stoystown PA 15563-6002 | |
| (814) 893-5568 | |
| (814) 893-5989 |
| Full Name | Medical Associates Of Boswell |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 136 S Pine Ave, Stoystown, Pennsylvania |
| Authorized Official Name and Position | William O Thompson (ADMINISTRATOR) |
| Authorized Official Contact | 8148935568 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Associates Of Boswell 136 S Pine Ave Box 340 Stoystown PA 15563-6002 Ph: (814) 893-5568 | Medical Associates Of Boswell 136 S Pine Ave Stoystown PA 15563-6002 Ph: (814) 893-5568 |
| NPI Number | 1871628651 |
|---|---|
| Provider Enumeration Date | 02/22/2007 |
| Last Update Date | 05/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871628651 | NPI | - | NPPES |
| 000069206 | Other | PA | HIGHMARK |
| 1007698380001 | Medicaid | PA | |
| 000322665 | Other | PA | HIGHMARK |
| 1007698380002 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (Pennsylvania) | Primary |
Medical Associates Of Boswell Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 136 S Pine Ave, Stoystown, PA 15563 Phone: 814-893-5568 Fax: 814-893-5989 |