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90 Hospital Rd Suite 200 Brookville PA 15825-1382 | |
(814) 849-1874 | |
(814) 849-1444 |
Full Name | |
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Speciality | Family Medicine |
Location | 90 Hospital Rd, Brookville, Pennsylvania |
Authorized Official Name and Position | Brian S Kline (AUTHORIZED OFFICIAL, VP, & CFO) |
Authorized Official Contact | 8143756377 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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100 Hospital Avenue Dubois PA 15801-1440 Ph: (814) 375-4200 | 90 Hospital Rd Suite 200 Brookville PA 15825-1382 Ph: (814) 849-1874 |
NPI Number | 1922233147 |
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Provider Enumeration Date | 05/18/2009 |
Last Update Date | 04/08/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922233147 | NPI | - | NPPES |
1007740880169 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Pennsylvania) | Primary |
363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
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 |