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500 W Berkeley St Uniontown PA 15401-5514 | |
| (724) 430-5108 | |
| (724) 430-3382 |
| Full Name | |
|---|---|
| Speciality | Clinic/center |
| Location | 500 W Berkeley St, Uniontown, Pennsylvania |
| Authorized Official Name and Position | Steve Handy (CFO/CIO - SR. V.P.) |
| Authorized Official Contact | 7244305081 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
500 W Berkeley St Uniontown PA 15401-5514 Ph: (724) 430-5108 | 500 W Berkeley St Uniontown PA 15401-5514 Ph: (724) 430-5108 |
| NPI Number | 1225045131 |
|---|---|
| Provider Enumeration Date | 08/02/2006 |
| Last Update Date | 07/23/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225045131 | NPI | - | NPPES |
| 1007630750010 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Pennsylvania) | Primary |
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