| Extended Care Medical Associates Llc | |
|
5824 Longview Cir Bridgeville PA 15017-1277 | |
| (724) 375-3100 | |
| (724) 375-5858 |
| Full Name | Extended Care Medical Associates Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 5824 Longview Cir, Bridgeville, Pennsylvania |
| Authorized Official Name and Position | Michael Speca (BUSINESS MANAGER) |
| Authorized Official Contact | 7243753100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Extended Care Medical Associates Llc 5824 Longview Cir Bridgeville PA 15017-1277 Ph: (724) 375-3100 | Extended Care Medical Associates Llc 5824 Longview Cir Bridgeville PA 15017-1277 Ph: (724) 375-3100 |
| NPI Number | 1548292147 |
|---|---|
| Provider Enumeration Date | 07/06/2006 |
| Last Update Date | 09/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548292147 | NPI | - | NPPES |
| 1010424740001 | Medicaid | PA | |
| 1608513 | Other | PA | BLUE SHIELD |
| 3567805 | Other | AETNA | |
| 2712425 | Medicaid | OH | |
| V0416B | Other | PA | UPMC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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