| Dorothy Bomgardner, | |
|
500 E Chestnut Ave, Altoona, PA 16601-5215 | |
| (814) 943-0414 | |
| Not Available |
| Full Name | Dorothy Bomgardner |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 500 E Chestnut Ave, Altoona, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821484585 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | PC000072 (Pennsylvania) | Primary |
| Entity Name | Integrated Behavioral Healthcare Management Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598874414 PECOS PAC ID: 3173500931 Enrollment ID: O20040630000804 |
| Mailing Address | Practice Location Address |
|---|---|
| Dorothy Bomgardner, 8262 Sand Rock Rd, Huntingdon, PA 16652-3685 Ph: () - | Dorothy Bomgardner, 500 E Chestnut Ave, Altoona, PA 16601-5215 Ph: (814) 943-0414 |
Mrs. Susan H Adams, BS CCDP BPRP Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 E Chestnut Ave, Altoona, PA 16601 Phone: 814-943-0414 | |
Heather Ann Campbell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 E Chestnut Ave, Altoona, PA 16601 Phone: 814-940-7473 | |
Laura Rae Lynn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 E Chestnut Ave, Altoona, PA 16601 Phone: 814-943-0414 Fax: 814-943-6198 | |
Dr. James Robert Brady, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 105 Lakemont Blvd., Altoona, PA 16602 Phone: 814-942-9999 Fax: 814-942-9999 | |
Kelli Nichole Corl, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1815 Valley View Blvd, Altoona, PA 16602 Phone: 814-942-9425 Fax: 814-942-9725 | |
Mrs. Brenda Eileen Simmons, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1815 Valley View Blvd, Altoona, PA 16602 Phone: 814-942-9425 Fax: 814-942-9425 | |
Weston Hatch, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 705 12th St, Altoona, PA 16602 Phone: 814-944-9970 Fax: 814-201-2960 |