| Broad Top Area Medical Center, Inc | |
|
626 Water St Ste 1 Orbisonia PA 17243-9432 | |
| (814) 447-5556 | |
| Not Available |
| Full Name | Broad Top Area Medical Center, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 626 Water St Ste 1, Orbisonia, 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 626 Water St Ste 1 Orbisonia PA 17243-9432 Ph: (814) 447-5556 |
| NPI Number | 1568035590 |
|---|---|
| Provider Enumeration Date | 07/19/2021 |
| Last Update Date | 07/19/2021 |
| Medicare PECOS PAC ID | 2860430972 |
|---|---|
| Medicare Enrollment ID | O20211105001133 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568035590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Broad Top Area Medical Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 626 Water St Ste 2, Orbisonia, PA 17243 Phone: 814-447-3159 | |
Fulton County Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Southern Huntingdon County Medical Center, 626 Water Street, Ste#1, Orbisonia, PA 17243 Phone: 814-447-5556 Fax: 814-447-5682 |