| Excela Health Herminie Family Medicine | |
|
401 Church St Herminie PA 15637-1457 | |
| (724) 446-5571 | |
| (724) 446-2151 |
| Full Name | Excela Health Herminie Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 401 Church St, Herminie, Pennsylvania |
| Authorized Official Name and Position | Kirk L Miller (VP, PHYS SERV & EXEC DIR, EHPP) |
| Authorized Official Contact | 7248308500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Excela Health Herminie Family Medicine 134 Industrial Park Rd Suite 2300a Greensburg PA 15601-7328 Ph: (724) 689-1810 | Excela Health Herminie Family Medicine 401 Church St Herminie PA 15637-1457 Ph: (724) 446-5571 |
| NPI Number | 1831476282 |
|---|---|
| Provider Enumeration Date | 11/14/2011 |
| Last Update Date | 11/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831476282 | NPI | - | NPPES |
| 001562186 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Edgar A Boone Joy L Boone Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 Church St, Herminie, PA 15637 Phone: 724-446-5571 Fax: 724-446-2151 |