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763 Johnsonburg Rd Saint Marys PA 15857-3417 | |
(814) 788-8000 | |
(814) 788-5623 |
Full Name | |
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Speciality | General Acute Care Hospital |
Location | 763 Johnsonburg Rd, Saint Marys, Pennsylvania |
Authorized Official Name and Position | Laurie Jane Macdonald (CFO) |
Authorized Official Contact | 8147888743 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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763 Johnsonburg Rd Saint Marys PA 15857-3417 Ph: (814) 375-4200 | 763 Johnsonburg Rd Saint Marys PA 15857-3417 Ph: (814) 788-8000 |
NPI Number | 1437396348 |
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Provider Enumeration Date | 01/14/2009 |
Last Update Date | 03/01/2023 |
Medicare PECOS PAC ID | 7517870512 |
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Medicare Enrollment ID | O20081022000045 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437396348 | NPI | - | NPPES |
571997 | Other | PA | MC PTAN |
100729260 | Medicaid | PA |
Provider Name | Jayaseelan Ambrose |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1437155363 PECOS PAC ID: 9931093416 Enrollment ID: I20040216000004 |
Provider Name | Steven W Neeley |
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Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1861443830 PECOS PAC ID: 2769472422 Enrollment ID: I20081124000472 |
Provider Name | Prasad D Gupta |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1659686970 PECOS PAC ID: 3870788672 Enrollment ID: I20101105000830 |
Provider Name | Brent A Barnes |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1114170248 PECOS PAC ID: 0648414508 Enrollment ID: I20130913000630 |
Provider Name | Steven Sprankle |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1801043146 PECOS PAC ID: 9032353784 Enrollment ID: I20141023001570 |