| Brookville Hospital | |
|
125 Chestnut Street Marienville PA 16239-0463 | |
| (814) 927-5609 | |
| (814) 927-5613 |
| Full Name | Brookville Hospital |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 125 Chestnut Street, Marienville, Pennsylvania |
| Authorized Official Name and Position | Julieanne Peer (VP/CFO) |
| Authorized Official Contact | 8148491408 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brookville Hospital 100 Hospital Rd Brookville PA 15825-1367 Ph: (814) 927-5609 | Brookville Hospital 125 Chestnut Street Marienville PA 16239-0463 Ph: (814) 927-5609 |
| NPI Number | 1356778773 |
|---|---|
| Provider Enumeration Date | 09/30/2013 |
| Last Update Date | 01/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356778773 | NPI | - | NPPES |
| 100773376 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Pennsylvania) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (Pennsylvania) | Primary |
Brookville Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 Chestnut Street, Marienville, PA 16239 Phone: 814-927-5609 Fax: 814-927-5613 | |
Chambers Family Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 Chestnut Street, Marienville, PA 16239 Phone: 814-927-5609 Fax: 814-927-5613 |