| Still Waters Family Health Services | |
|
216 N 2nd St Ste 5 Clearfield PA 16830-2547 | |
| (814) 205-4025 | |
| Not Available |
| Full Name | Still Waters Family Health Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 216 N 2nd St Ste 5, Clearfield, Pennsylvania |
| Authorized Official Name and Position | Bradley J. Shaw (OWNER) |
| Authorized Official Contact | 8142054025 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Still Waters Family Health Services 216 N 2nd St Ste 5 Clearfield PA 16830-2547 Ph: (814) 205-4025 | Still Waters Family Health Services 216 N 2nd St Ste 5 Clearfield PA 16830-2547 Ph: (814) 205-4025 |
| NPI Number | 1659991594 |
|---|---|
| Provider Enumeration Date | 04/21/2020 |
| Last Update Date | 04/05/2021 |
| Medicare PECOS PAC ID | 4284052143 |
|---|---|
| Medicare Enrollment ID | O20200910000215 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659991594 | NPI | - | NPPES |
| 103371103 | Medicaid | PA |
| Provider Name | Carolyn D Brumbaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477677367 PECOS PAC ID: 9234362997 Enrollment ID: I20140502001342 |
| Provider Name | Mandie Lin Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114475332 PECOS PAC ID: 5294015236 Enrollment ID: I20161208000288 |
| Provider Name | Linde M Collingwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538392006 PECOS PAC ID: 0042356818 Enrollment ID: I20170509000305 |
| Provider Name | Bradley Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942721592 PECOS PAC ID: 2668746058 Enrollment ID: I20170925000094 |
| Provider Name | Jodi E Plowman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104040526 PECOS PAC ID: 1052558871 Enrollment ID: I20200624001073 |
| Provider Name | Julianne N Kearney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558678235 PECOS PAC ID: 6608249495 Enrollment ID: I20230225000043 |
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