| |
1850 E Park Ave Suite 201 State College PA 16803-6706 | |
(814) 234-8800 | |
(814) 234-8068 |
Full Name | |
---|---|
Speciality | Internal Medicine |
Location | 1850 E Park Ave, State College, Pennsylvania |
Authorized Official Name and Position | John J. Mcqueary (COO/ADMINISTRATIVE DIRECTOR) |
Authorized Official Contact | 8142344753 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
1850 E Park Ave Suite 201 State College PA 16803-6706 Ph: (814) 234-8800 | 1850 E Park Ave Suite 201 State College PA 16803-6706 Ph: (814) 234-8800 |
NPI Number | 1487611695 |
---|---|
Provider Enumeration Date | 05/01/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487611695 | NPI | - | NPPES |
1007679310027 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD067665L (Pennsylvania) | Primary |
State College Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2188 Sandy Dr., Suite A, State College, PA 16803 Phone: 814-278-1977 Fax: 814-272-0070 | |
Geisinger Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Scenery Dr, State College, PA 16801 Phone: 814-231-4560 | |
Swing Care Provider Group, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 Innovation Blvd Ofc 2232nd, State College, PA 16803 Phone: 262-667-7326 Fax: 877-349-1868 | |
Healthy Valley Chiropractic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 403 S Allen St, State College, PA 16801 Phone: 814-771-0931 | |