| Broad Top Area Medical Center, Inc | |
|
95 S Park St Mount Union PA 17066-1334 | |
| (815) 542-8627 | |
| (814) 542-5444 |
| Full Name | Broad Top Area Medical Center, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 95 S Park St, Mount Union, Pennsylvania |
| Authorized Official Name and Position | John Roth (CEO) |
| Authorized Official Contact | 8146352916 |
| 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 Po Box 127 Broad Top PA 16621-0127 Ph: (814) 635-7351 | Broad Top Area Medical Center, Inc 95 S Park St Mount Union PA 17066-1334 Ph: (815) 542-8627 |
| NPI Number | 1174039408 |
|---|---|
| Provider Enumeration Date | 12/22/2017 |
| Last Update Date | 04/22/2021 |
| Medicare PECOS PAC ID | 2860430972 |
|---|---|
| Medicare Enrollment ID | O20180219001768 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174039408 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Applebys Professional Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 133 E Shirley St, Mount Union, PA 17066 Phone: 814-542-4412 Fax: 814-542-2960 | |
Mount Union Area Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 S Park St, Mount Union, PA 17066 Phone: 814-542-8627 Fax: 814-542-5444 |