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312 Industrial Park Rd Meyersdale PA 15552-7290 | |
(814) 634-5954 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 312 Industrial Park Rd, Meyersdale, Pennsylvania |
Authorized Official Name and Position | Mary L Libengood (PRESIDENT) |
Authorized Official Contact | 8146345911 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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200 Hospital Dr Meyersdale PA 15552-1249 Ph: (814) 634-5911 | 312 Industrial Park Rd Meyersdale PA 15552-7290 Ph: (814) 634-5954 |
NPI Number | 1285067421 |
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Provider Enumeration Date | 08/12/2013 |
Last Update Date | 02/03/2014 |
Identifier | Type | State | Issuer |
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1285067421 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
Conemaugh Health Initiatives Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 Beachley St, Meyersdale, PA 15552 Phone: 814-634-5945 Fax: 814-634-9140 | |