| Young Family Medicine Pc | |
|
171 Lovell Ave Ste 102 Ebensburg PA 15931-1855 | |
| (814) 846-5972 | |
| (814) 846-5971 |
| Full Name | Young Family Medicine Pc |
|---|---|
| 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 |
|---|---|
| Young Family Medicine Pc 171 Lovell Ave Ste 102 Ebensburg PA 15931-1855 Ph: () - | Young Family Medicine Pc 171 Lovell Ave Ste 102 Ebensburg PA 15931-1855 Ph: (814) 846-5972 |
| NPI Number | 1790426211 |
|---|---|
| Provider Enumeration Date | 04/06/2022 |
| Last Update Date | 08/04/2022 |
| Medicare PECOS PAC ID | 8628455821 |
|---|---|
| Medicare Enrollment ID | O20220509001643 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790426211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| Provider Name | Stephanie S Young |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285604561 PECOS PAC ID: 2365486941 Enrollment ID: I20050614001306 |
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