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17129 Route 6 Smethport PA 16749-4027 | |
| (814) 887-5395 | |
| (814) 887-5342 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 17129 Route 6, Smethport, Pennsylvania |
| Authorized Official Name and Position | Anthony C. Moscato (ADMINISTRATOR) |
| Authorized Official Contact | 8144861115 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
17129 Route 6 P.o. Box 457 Smethport PA 16749-4027 Ph: (814) 887-5395 | 17129 Route 6 Smethport PA 16749-4027 Ph: (814) 887-5395 |
| NPI Number | 1801988670 |
|---|---|
| Provider Enumeration Date | 09/29/2006 |
| Last Update Date | 01/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801988670 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Bowman Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 83 S Marvin St, Smethport, PA 16749 Phone: 814-887-5395 | |