| Penn Highlands Family Medicine - Kakabadze | |
|
5 N 3rd St Reynoldsville PA 15851-1231 | |
| (814) 653-8222 | |
| (814) 653-9305 |
| Full Name | Penn Highlands Family Medicine - Kakabadze |
|---|---|
| Speciality | Family Medicine |
| Location | 5 N 3rd St, Reynoldsville, 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 |
|---|---|
| Penn Highlands Family Medicine - Kakabadze 100 Hospital Ave Du Bois PA 15801-1440 Ph: (814) 653-8222 | Penn Highlands Family Medicine - Kakabadze 5 N 3rd St Reynoldsville PA 15851-1231 Ph: (814) 653-8222 |
| NPI Number | 1881614204 |
|---|---|
| Provider Enumeration Date | 07/20/2006 |
| Last Update Date | 02/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881614204 | NPI | - | NPPES |
| 1007740880083 | Medicaid | PA | |
| 1728632 | Other | PA | BLUE CROSS/BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 135501 (Pennsylvania) | Primary |
Jennifer Wineberg Zeitler Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 522 E Main St, Reynoldsville, PA 15851 Phone: 814-653-8000 Fax: 814-653-9632 | |
Drmc Pca Reynoldsville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 N 3rd St, Suite 1, Reynoldsville, PA 15851 Phone: 814-653-8222 Fax: 814-653-9305 |