| Primus Healthcare | |
|
100 W High St Ebensburg PA 15931-1539 | |
| (814) 242-3842 | |
| Not Available |
| Full Name | Primus Healthcare |
|---|---|
| Speciality | Family Medicine |
| Location | 100 W High St, Ebensburg, Pennsylvania |
| Authorized Official Name and Position | Amy Thomas (IN-HOUSE COUNSEL) |
| Authorized Official Contact | 7243171070 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primus Healthcare 100 W High St Ebensburg PA 15931-1539 Ph: (814) 242-3842 | Primus Healthcare 100 W High St Ebensburg PA 15931-1539 Ph: (814) 242-3842 |
| NPI Number | 1386373041 |
|---|---|
| Provider Enumeration Date | 06/08/2022 |
| Last Update Date | 01/27/2023 |
| Medicare PECOS PAC ID | 4284019688 |
|---|---|
| Medicare Enrollment ID | O20240212000786 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386373041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Ofelia C Balta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912980178 PECOS PAC ID: 4880745207 Enrollment ID: I20100520000966 |
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