Valley Ambulatory Health Center, P.c. | |
238 Indiana Street Seward PA 15954 | |
(814) 446-5695 | |
(814) 446-4209 |
Full Name | Valley Ambulatory Health Center, P.c. |
---|---|
Speciality | Family Medicine |
Location | 238 Indiana Street, Seward, Pennsylvania |
Authorized Official Name and Position | Dennis Lee Eckels (PHYSICAN, OWNER OF COMPANY) |
Authorized Official Contact | 8144465695 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Valley Ambulatory Health Center, P.c. Po Box 486 Seward PA 15954-0486 Ph: (814) 446-5695 | Valley Ambulatory Health Center, P.c. 238 Indiana Street Seward PA 15954 Ph: (814) 446-5695 |
NPI Number | 1750410346 |
---|---|
Provider Enumeration Date | 03/02/2007 |
Last Update Date | 02/09/2010 |
Medicare PECOS PAC ID | 7517904253 |
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Medicare Enrollment ID | O20050413001046 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750410346 | NPI | - | NPPES |
0015077380001 | Medicaid | PA | |
01586199 | Other | HIGHMARK BLUE CROSS BLUE SHIELD GROUP NUMBER | |
073815 | Other | PA | ECKELS BLUE CROSS BLUE SH |
P00209792 | Other | PA | PALMETTO GBA |
100236 | Other | PA | ECKELS UPMC ID NUMBER |
255520 | Other | PA | HEALTH AMERICA GROUP NO. |
4556169 | Other | PA | ECKELS AETNA NUMBER |
OS-003436-L | Other | PA | ECKELS LICENSE NUMBER |
B35010 | Other | ECKELS UPIN | |
1014729580001 | Medicaid | PA | |
613037300 | Other | PA | FEDERAL BLACK LUNG |
P00223863 | Other | PA | PALMETTO GBA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OS-003436-L (Pennsylvania) | Primary |
207Q00000X | Family Medicine | OS-009298-L (Pennsylvania) | Secondary |
Provider Name | Dennis Lee Eckels |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1578507521 PECOS PAC ID: 5698665560 Enrollment ID: I20040316001116 |
Conemaugh Physician Group Seward Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6854 Route 711, Seward, PA 15954 Phone: 814-446-4032 Fax: 814-446-4033 | |
Conemaugh Physician Group - Seward Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6872 Route 711, Seward, PA 15954 Phone: 814-446-4032 Fax: 814-446-4033 |