| |
416 N Broad St Emporium PA 15834-1402 | |
(814) 371-2200 | |
Not Available |
Full Name | |
---|---|
Speciality | Family Medicine |
Location | 416 N Broad St, Emporium, Pennsylvania |
Authorized Official Name and Position | Brian S Kline (VP/CFO) |
Authorized Official Contact | 8143756377 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
100 Hospital Ave Du Bois PA 15801-1440 Ph: (814) 371-2200 | 416 N Broad St Emporium PA 15834-1402 Ph: (814) 371-2200 |
NPI Number | 1972988780 |
---|---|
Provider Enumeration Date | 07/22/2015 |
Last Update Date | 02/29/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972988780 | NPI | - | NPPES |
1007740880070 | Medicaid | PA |
Elk Regional Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 416 N Broad St, Emporium, PA 15834 Phone: 814-486-2202 Fax: 814-486-0973 | |
Keystone Rural Health Consortia, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 90 E 2nd St, Emporium, PA 15834 Phone: 814-486-1115 Fax: 814-486-0404 | |