| Conemaugh Physician Group - Davidsville | |
|
207 Woodstown Hwy Hollsopple PA 15935-7119 | |
| (814) 479-4034 | |
| (814) 479-7166 |
| Full Name | Conemaugh Physician Group - Davidsville |
|---|---|
| Speciality | Clinic/Center |
| Location | 207 Woodstown Hwy, Hollsopple, Pennsylvania |
| Authorized Official Name and Position | Jess N Judy (PRESIDENT) |
| Authorized Official Contact | 6159207000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Conemaugh Physician Group - Davidsville 207 Woodstown Hwy Hollsopple PA 15935-7119 Ph: (814) 479-4034 | Conemaugh Physician Group - Davidsville 207 Woodstown Hwy Hollsopple PA 15935-7119 Ph: (814) 479-4034 |
| NPI Number | 1356757710 |
|---|---|
| Provider Enumeration Date | 07/07/2014 |
| Last Update Date | 07/07/2014 |
| Medicare PECOS PAC ID | 7315166949 |
|---|---|
| Medicare Enrollment ID | O20140915002105 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356757710 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Conemaugh Physician Group-family Medicine-davidsville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 207 Woodstown Hwy, Hollsopple, PA 15935 Phone: 814-479-4034 Fax: 814-479-7166 | |
Gary M. Davidson, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 207 Woodstown Hwy, Hollsopple, PA 15935 Phone: 814-479-4034 Fax: 814-479-7166 |