| |
225 S Center Avenue Somerset PA 15501-2088 | |
(814) 443-5221 | |
(814) 443-4937 |
Full Name | |
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Speciality | Clinic/center |
Location | 225 S Center Avenue, Somerset, Pennsylvania |
Authorized Official Name and Position | Andrew Rush (CEO) |
Authorized Official Contact | 8144435000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 645819 Pittsburgh PA 15264-5819 Ph: (814) 443-5221 | 225 S Center Avenue Somerset PA 15501-2088 Ph: (814) 443-5221 |
NPI Number | 1073692679 |
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Provider Enumeration Date | 11/03/2006 |
Last Update Date | 04/15/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073692679 | NPI | - | NPPES |
1002086660028 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 196901 (Pennsylvania) | Primary |
Emiliano L Limcuando Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 S Center Ave, Somerset, PA 15501 Phone: 814-445-4181 Fax: 814-445-3993 | |
Laurel Highlands Internal Medicine Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 226 E Church Street, Somerset, PA 15501 Phone: 814-443-1028 Fax: 814-443-2910 | |