| Somerset Hospital Spu | |
|
225 S Center Avenue Somerset PA 15501-2088 | |
| (814) 443-5221 | |
| (814) 443-4937 |
| Full Name | Somerset Hospital Spu |
|---|---|
| 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 |
|---|---|
| Somerset Hospital Spu Po Box 645819 Pittsburgh PA 15264-5819 Ph: (814) 443-5221 | Somerset Hospital Spu 225 S Center Avenue Somerset PA 15501-2088 Ph: (814) 443-5221 |
| NPI Number | 1073692679 |
|---|---|
| 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 |
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