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171 Lovell Ave Ste 102 Ebensburg PA 15931-1855 | |
(814) 846-5972 | |
(814) 846-5971 |
Full Name | |
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Speciality | Family Medicine |
Location | 171 Lovell Ave Ste 102, Ebensburg, Pennsylvania |
Authorized Official Name and Position | Stephanie Young (PRESIDENT) |
Authorized Official Contact | 8142411595 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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171 Lovell Ave Ste 102 Ebensburg PA 15931-1855 Ph: () - | 171 Lovell Ave Ste 102 Ebensburg PA 15931-1855 Ph: (814) 846-5972 |
NPI Number | 1790426211 |
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Provider Enumeration Date | 04/06/2022 |
Last Update Date | 08/04/2022 |
Medicare PECOS PAC ID | 8628455821 |
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Medicare Enrollment ID | O20220509001643 |
Identifier | Type | State | Issuer |
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1790426211 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
Provider Name | Stephanie S Young |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1285604561 PECOS PAC ID: 2365486941 Enrollment ID: I20050614001306 |
Magley Family Practice, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1100 W High St, Ebensburg, PA 15931 Phone: 814-472-7320 Fax: 814-472-5666 | |
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