| North Hills Fam Pract | |
|
1001 E 2nd St Coudersport PA 16915-8161 | |
| (814) 274-9300 | |
| Not Available |
| Full Name | North Hills Fam Pract |
|---|---|
| Speciality | Family Medicine |
| Location | 1001 E 2nd St, Coudersport, Pennsylvania |
| Authorized Official Name and Position | Edward Pitchford (CEO) |
| Authorized Official Contact | 8142749300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Hills Fam Pract 1001 E 2nd St Coudersport PA 16915-8161 Ph: () - | North Hills Fam Pract 1001 E 2nd St Coudersport PA 16915-8161 Ph: (814) 274-9300 |
| NPI Number | 1104042308 |
|---|---|
| Provider Enumeration Date | 04/17/2007 |
| Last Update Date | 06/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104042308 | NPI | - | NPPES |
| 1379254 | Other | PA | PA BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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