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100 Hospital Ave Billing Department Du Bois PA 15801-1440 | |
(814) 375-3033 | |
(814) 372-2613 |
Full Name | |
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Speciality | Clinic/center - Health Service |
Location | 100 Hospital Ave, Du Bois, Pennsylvania |
Authorized Official Name and Position | John S Sutika (PRESIDENT) |
Authorized Official Contact | 8143753385 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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100 Hospital Ave Billing Department Du Bois PA 15801-1440 Ph: (814) 375-3033 | 100 Hospital Ave Billing Department Du Bois PA 15801-1440 Ph: (814) 375-3033 |
NPI Number | 1487943809 |
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Provider Enumeration Date | 04/06/2011 |
Last Update Date | 03/20/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487943809 | NPI | - | NPPES |
002627757 | Other | HIGHMARK ASSIGNMENT ACCOUNT | |
1007740880070 | Medicaid | PA | |
1007740880076 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Primary |
My Care Now, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 90 Beaver Dr, Building C, Du Bois, PA 15801 Phone: 814-371-2273 Fax: 814-371-2500 | |
Dubois Regional Medical Group, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 145 Hospital Ave Ste 104, Du Bois, PA 15801 Phone: 814-375-8055 Fax: 814-375-8056 | |
Skilled Medpros Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 Fallen Timber Dr, Du Bois, PA 15801 Phone: 814-591-2495 Fax: 866-832-1744 | |