Vineyard Primary Care | |
2060 N Pearl Street North East PA 16428-1926 | |
(814) 877-7711 | |
(814) 877-7715 |
Full Name | Vineyard Primary Care |
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Speciality | Family Medicine |
Location | 2060 N Pearl Street, North East, Pennsylvania |
Authorized Official Name and Position | David Gibbons (PRESIDENT) |
Authorized Official Contact | 8148777591 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Vineyard Primary Care 2060 N Pearl Street North East PA 16428-1926 Ph: (814) 877-7711 | Vineyard Primary Care 2060 N Pearl Street North East PA 16428-1926 Ph: (814) 877-7711 |
NPI Number | 1578720108 |
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Provider Enumeration Date | 05/21/2008 |
Last Update Date | 08/30/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578720108 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
North East Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 115 E Main St, North East, PA 16428 Phone: 814-725-8774 Fax: 814-725-2391 |