| Tidioute Health Center | |
|
115 Main St Tidioute PA 16351-1062 | |
| (724) 880-4111 | |
| (724) 342-1942 |
| Full Name | Tidioute Health Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 115 Main St, Tidioute, Pennsylvania |
| Authorized Official Name and Position | Carl A Sizer (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7243420126 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tidioute Health Center 63 Pitt St Sharon PA 16146-2102 Ph: (724) 342-3002 | Tidioute Health Center 115 Main St Tidioute PA 16351-1062 Ph: (724) 880-4111 |
| NPI Number | 1811429947 |
|---|---|
| Provider Enumeration Date | 03/29/2017 |
| Last Update Date | 07/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811429947 | NPI | - | NPPES |
| 1007578460124 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |