| Wayne Primary Care | |
|
650 East Ave Erie PA 16503-1524 | |
| (814) 877-8030 | |
| (814) 877-8040 |
| Full Name | Wayne Primary Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 650 East Ave, Erie, Pennsylvania |
| Authorized Official Name and Position | Carl A Sizer (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7243420126 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wayne Primary Care 63 Pitt St Sharon PA 16146-2102 Ph: (724) 342-3002 | Wayne Primary Care 650 East Ave Erie PA 16503-1524 Ph: (814) 877-8030 |
| NPI Number | 1649676511 |
|---|---|
| Provider Enumeration Date | 11/05/2014 |
| Last Update Date | 07/11/2024 |
| Medicare PECOS PAC ID | 9234046228 |
|---|---|
| Medicare Enrollment ID | O20150121001228 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649676511 | NPI | - | NPPES |
| 1007578460114 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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