| Conneaut Valley Health Center, Inc. | |
|
906 Washington St Conneautville PA 16406-7138 | |
| (814) 373-2284 | |
| (814) 373-2417 |
| Full Name | Conneaut Valley Health Center, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 906 Washington St, Conneautville, Pennsylvania |
| Authorized Official Name and Position | Renato Suntay (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 8143732923 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Conneaut Valley Health Center, Inc. 1034 Grove St Meadville PA 16335-2945 Ph: (814) 373-2923 | Conneaut Valley Health Center, Inc. 906 Washington St Conneautville PA 16406-7138 Ph: (814) 373-2284 |
| NPI Number | 1699829069 |
|---|---|
| Provider Enumeration Date | 01/23/2007 |
| Last Update Date | 06/22/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699829069 | NPI | - | NPPES |
| VA045197 | Other | PA | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 261QD0000X | Clinic/center - Dental | (Pennsylvania) | Primary |