| Northwest Pa Rural Aids Alliance | |
|
15870 Route 322 Suite 2 Clarion PA 16214-6338 | |
| (814) 764-6066 | |
| Not Available |
| Full Name | Northwest Pa Rural Aids Alliance |
|---|---|
| Speciality | Internal Medicine |
| Location | 15870 Route 322, Clarion, Pennsylvania |
| Authorized Official Name and Position | Elizabeth Kundick (FISCAL ADMINISTRATOR) |
| Authorized Official Contact | 8142978220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Pa Rural Aids Alliance 15870 Route 322 Suite 2 Clarion PA 16214-6338 Ph: () - | Northwest Pa Rural Aids Alliance 15870 Route 322 Suite 2 Clarion PA 16214-6338 Ph: (814) 764-6066 |
| NPI Number | 1225241805 |
|---|---|
| Provider Enumeration Date | 05/08/2007 |
| Last Update Date | 12/12/2019 |
| Medicare PECOS PAC ID | 7719924703 |
|---|---|
| Medicare Enrollment ID | O20100104000099 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225241805 | NPI | - | NPPES |
| 1002302280003 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| 251B00000X | Case Management | (Pennsylvania) | Secondary |
| Provider Name | Zahida Bhatti |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1932208584 PECOS PAC ID: 6507864758 Enrollment ID: I20061122000102 |
| Provider Name | Carol F Encarnacion |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1407844319 PECOS PAC ID: 4183794662 Enrollment ID: I20080610000689 |
| Provider Name | Elias Shattahi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1245495605 PECOS PAC ID: 2264566363 Enrollment ID: I20130925000668 |
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