| Excela Health Physician Practices, Inc. | |
|
115 S 2nd St West Newton PA 15089-1357 | |
| (724) 872-5252 | |
| (724) 872-5501 |
| Full Name | Excela Health Physician Practices, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 115 S 2nd St, West Newton, 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 Physician Practices, Inc. 115 S 2nd St West Newton PA 15089-1357 Ph: (724) 872-5252 | Excela Health Physician Practices, Inc. 115 S 2nd St West Newton PA 15089-1357 Ph: (724) 872-5252 |
| NPI Number | 1073609236 |
|---|---|
| Provider Enumeration Date | 10/05/2006 |
| Last Update Date | 08/23/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073609236 | NPI | - | NPPES |
| 0015621860069 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD041300L (Pennsylvania) | Primary |
Excela Health Physician Practices, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 155 Mount Pleasant Rd, West Newton, PA 15089 Phone: 724-872-8501 Fax: 724-872-6569 |