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104 Metoxet St Ridgway PA 15853-1932 | |
(814) 371-2200 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 104 Metoxet St, Ridgway, 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 |
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100 Hospital Ave Du Bois PA 15801-1440 Ph: (814) 371-2200 | 104 Metoxet St Ridgway PA 15853-1932 Ph: (814) 371-2200 |
NPI Number | 1609242569 |
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Provider Enumeration Date | 08/14/2015 |
Last Update Date | 02/29/2016 |
Identifier | Type | State | Issuer |
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1609242569 | NPI | - | NPPES |
1007740880070 | Medicaid | PA |
Fernan Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 S. Mill St., Ridgway, PA 15853 Phone: 814-772-0722 Fax: 814-772-6934 |