| Coudersport Family Medicine | |
|
1001 E 2nd St Coudersport PA 16915-8161 | |
| (814) 274-9198 | |
| Not Available |
| Full Name | Coudersport Family Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 1001 E 2nd St, Coudersport, Pennsylvania |
| Authorized Official Name and Position | Janie Hilfiger (PRESIDENT) |
| Authorized Official Contact | 5707230100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coudersport Family Medicine 1001 E 2nd St Coudersport PA 16915-8161 Ph: (814) 274-9198 | Coudersport Family Medicine 1001 E 2nd St Coudersport PA 16915-8161 Ph: (814) 274-9198 |
| NPI Number | 1578637989 |
|---|---|
| Provider Enumeration Date | 11/17/2006 |
| Last Update Date | 11/06/2023 |
| Medicare PECOS PAC ID | 3779487475 |
|---|---|
| Medicare Enrollment ID | O20080724000841 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578637989 | NPI | - | NPPES |
| 100001127-0069 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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