| Southside Internal Medicine-pediatrics Llc | |
|
204 Central Ave Oil City PA 16301-2738 | |
| (814) 677-4045 | |
| (814) 676-2364 |
| Full Name | Southside Internal Medicine-pediatrics Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 204 Central Ave, Oil City, Pennsylvania |
| Authorized Official Name and Position | Donna M Anderson (OWNER) |
| Authorized Official Contact | 8146774045 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southside Internal Medicine-pediatrics Llc 204 Central Ave Oil City PA 16301-2738 Ph: (814) 677-4045 | Southside Internal Medicine-pediatrics Llc 204 Central Ave Oil City PA 16301-2738 Ph: (814) 677-4045 |
| NPI Number | 1184729071 |
|---|---|
| Provider Enumeration Date | 09/14/2006 |
| Last Update Date | 11/19/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184729071 | NPI | - | NPPES |
| 0018239070003 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD072420L (Pennsylvania) | Primary |
| 208000000X | Pediatrics | MD072420L (Pennsylvania) | Secondary |
Oil City Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 811 Grandview Rd Ste 100, Oil City, PA 16301 Phone: 814-670-7950 Fax: 814-670-7951 | |
Venango Internal Medicine Upmc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Memorial Dr, Oil City, PA 16301 Phone: 814-676-8571 | |
William B Hebda Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 155 E Bissell Ave, Oil City, PA 16301 Phone: 814-677-1180 Fax: 814-676-2962 | |
Titusville Area Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 116 Central Ave, Oil City, PA 16301 Phone: 814-676-0431 Fax: 814-677-6342 |