| Spartansburg Medical Center | |
|
132 Mechanic St Spartansburg PA 16434 | |
| (814) 654-7334 | |
| (814) 654-7553 |
| Full Name | Spartansburg Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 132 Mechanic St, Spartansburg, Pennsylvania |
| Authorized Official Name and Position | Patricia M Balmer (OFFICE MANAGER) |
| Authorized Official Contact | 8146547334 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spartansburg Medical Center Po Box 211 Spartansburg PA 16434 Ph: (814) 654-7334 | Spartansburg Medical Center 132 Mechanic St Spartansburg PA 16434 Ph: (814) 654-7334 |
| NPI Number | 1639238900 |
|---|---|
| Provider Enumeration Date | 12/06/2006 |
| Last Update Date | 12/20/2019 |
| Medicare PECOS PAC ID | 9133039407 |
|---|---|
| Medicare Enrollment ID | O20120806000237 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639238900 | NPI | - | NPPES |
| 870298 | Other | PA | BLUE SHIELD |
| 001511070 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |