1912230251 NPI number — PRIMARY CARE OF WESTERN PA P C

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1912230251 NPI number — PRIMARY CARE OF WESTERN PA P C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PRIMARY CARE OF WESTERN PA P C
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1912230251
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/15/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 14397
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
POLAND
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44514-7397
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
724-598-8777
Provider Business Mailing Address Fax Number:
724-598-8877

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
149 ENCLAVE DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW CASTLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16105-3207
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-598-8777
Provider Business Practice Location Address Fax Number:
724-598-8877
Provider Enumeration Date:
09/17/2009

Additional Information

Authorized Official

Authorized Official Last Name:
KELLEY
Authorized Official First Name:
JANE
Authorized Official Middle Name:
A
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
724-598-8777

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  OS009170L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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