| Broad Top Area Medical Center, Inc | |
|
375 S Kishacoquillas St Belleville PA 17004-8620 | |
| (717) 935-2065 | |
| (717) 935-5560 |
| Full Name | Broad Top Area Medical Center, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 375 S Kishacoquillas St, Belleville, Pennsylvania |
| Authorized Official Name and Position | Shani Reed (DIRECTOR, PROVIDER ENROLLMENT) |
| Authorized Official Contact | 8145068463 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Broad Top Area Medical Center, Inc 4133 Medical Center Dr Broad Top PA 16621-9001 Ph: (814) 635-2916 | Broad Top Area Medical Center, Inc 375 S Kishacoquillas St Belleville PA 17004-8620 Ph: (717) 935-2065 |
| NPI Number | 1659945483 |
|---|---|
| Provider Enumeration Date | 05/17/2021 |
| Last Update Date | 05/17/2021 |
| Medicare PECOS PAC ID | 2860430972 |
|---|---|
| Medicare Enrollment ID | O20210804001900 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659945483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Geisinger Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4752 State Route 655, Belleville, PA 17004 Phone: 717-667-9030 Fax: 717-667-9165 |