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104 Metoxet St Ridgway PA 15853-1932 | |
(814) 772-8122 | |
(814) 772-7278 |
Full Name | |
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Speciality | Family Medicine |
Location | 104 Metoxet St, Ridgway, Pennsylvania |
Authorized Official Name and Position | Heather Bollinger Schneider (CFO/AUTHORIZED OFFICIAL) |
Authorized Official Contact | 8143756432 |
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) 375-4217 | 104 Metoxet St Ridgway PA 15853-1932 Ph: (814) 772-8122 |
NPI Number | 1073989463 |
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Provider Enumeration Date | 08/19/2015 |
Last Update Date | 08/09/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073989463 | NPI | - | NPPES |
106218 | Other | PA | MC PTAN |
100774088 | 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 |