Richland Family Health Center | |
203 College Park Plz Johnstown PA 15904-2833 | |
(814) 961-3500 | |
Not Available |
Full Name | Richland Family Health Center |
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Speciality | Clinic/Center |
Location | 203 College Park Plz, Johnstown, Pennsylvania |
Authorized Official Name and Position | William Kurtycz (CEO) |
Authorized Official Contact | 8147099801 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Richland Family Health Center Po Box 706 Hyndman PA 15545-0706 Ph: () - | Richland Family Health Center 203 College Park Plz Johnstown PA 15904-2833 Ph: (814) 961-3500 |
NPI Number | 1538781166 |
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Provider Enumeration Date | 05/18/2020 |
Last Update Date | 06/07/2021 |
Medicare PECOS PAC ID | 5991614968 |
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Medicare Enrollment ID | O20200526001294 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538781166 | NPI | - | NPPES |
1007332810012 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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