| Autumn Street Health Center And Autumn Street Behavioral Health | |
|
99 Autumn St Aliquippa PA 15001-1301 | |
| (724) 857-3570 | |
| (724) 857-3574 |
| Full Name | Autumn Street Health Center And Autumn Street Behavioral Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 99 Autumn St, Aliquippa, Pennsylvania |
| Authorized Official Name and Position | Carl A Sizer (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7243420126 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Autumn Street Health Center And Autumn Street Behavioral Health 63 Pitt St Sharon PA 16146-2102 Ph: (724) 342-3002 | Autumn Street Health Center And Autumn Street Behavioral Health 99 Autumn St Aliquippa PA 15001-1301 Ph: (724) 857-3570 |
| NPI Number | 1992073183 |
|---|---|
| Provider Enumeration Date | 12/02/2011 |
| Last Update Date | 07/19/2022 |
| Medicare PECOS PAC ID | 9234046228 |
|---|---|
| Medicare Enrollment ID | O20120530000258 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992073183 | NPI | - | NPPES |
| 1007578460104 | Medicaid | PA | |
| 0261071 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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