| Trough Creek Medical Center | |
|
358 Seminary St Cassville PA 16623-6203 | |
| (814) 448-9226 | |
| (814) 448-2068 |
| Full Name | Trough Creek Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 358 Seminary St, Cassville, Pennsylvania |
| Authorized Official Name and Position | John Roth (CEO) |
| Authorized Official Contact | 8146352916 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trough Creek Medical Center 4133 Medical Center Dr Po Box 127 Broad Top PA 16621-9001 Ph: (814) 635-7351 | Trough Creek Medical Center 358 Seminary St Cassville PA 16623-6203 Ph: (814) 448-9226 |
| NPI Number | 1043766611 |
|---|---|
| Provider Enumeration Date | 09/01/2016 |
| Last Update Date | 07/28/2021 |
| Medicare PECOS PAC ID | 2860430972 |
|---|---|
| Medicare Enrollment ID | O20170112001174 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043766611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
J C Blair Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 478 Seminary St, Cassville, PA 16623 Phone: 814-506-9060 | |
Jc Blair Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 478 Seminary Street, Suite A, Cassville, PA 16623 Phone: 814-448-9226 Fax: 814-448-2068 | |
J C Blair Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 478 Seminary St, Cassville, PA 16623 Phone: 081-450-6906 |