| Conneaut Valley Health Center Inc. | |
|
906 Washington St Conneautville PA 16406 | |
| (814) 373-2276 | |
| (814) 587-2918 |
| Full Name | Conneaut Valley Health Center Inc. |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 906 Washington St, Conneautville, Pennsylvania |
| Authorized Official Name and Position | Renato J. Suntay (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 8143732449 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Conneaut Valley Health Center Inc. 1009 Water St Second Floor Meadville PA 16335-3465 Ph: (814) 373-2449 | Conneaut Valley Health Center Inc. 906 Washington St Conneautville PA 16406 Ph: (814) 373-2276 |
| NPI Number | 1558380469 |
|---|---|
| Provider Enumeration Date | 07/19/2006 |
| Last Update Date | 04/16/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558380469 | NPI | - | NPPES |
| 0007230030001 | Medicaid | PA | |
| CE7746 | Other | PA | RAIL ROAD MEDICARE |
| 191386 | Other | PA | HIGHMARK BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS011018L (Pennsylvania) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | OS011018L (Pennsylvania) | Primary |
Titusville Area Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 906 Washington St, Conneautville, PA 16406 Phone: 814-587-2246 Fax: 814-587-4144 |