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22 Industrial Park Rd Brookville PA 15825-7228 | |
(814) 849-0990 | |
(814) 849-0992 |
Full Name | |
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Speciality | Clinic/Center |
Location | 22 Industrial Park Rd, Brookville, Pennsylvania |
Authorized Official Name and Position | Heather Bollinger Schneider (CFO) |
Authorized Official Contact | 8143756432 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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100 Hospital Ave Du Bois PA 15801-1440 Ph: (814) 375-4200 | 22 Industrial Park Rd Brookville PA 15825-7228 Ph: (814) 849-0990 |
NPI Number | 1811434657 |
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Provider Enumeration Date | 01/31/2017 |
Last Update Date | 08/23/2022 |
Medicare PECOS PAC ID | 5890689715 |
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Medicare Enrollment ID | O20170406002981 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811434657 | NPI | - | NPPES |
100774088 | Medicaid | PA | |
393414 | Other | PA | MC PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Pennsylvania) | Secondary |
261QR1300X | Clinic/center - Rural Health | (Pennsylvania) | Primary |
Primary Care Associates Of Western Pa. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 477 Route 28, Brookville, PA 15825 Phone: 814-849-3035 Fax: 814-849-4341 | |
Chambers Family Health Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 298 Main St, Brookville, PA 15825 Phone: 814-849-5288 Fax: 814-849-5819 |