| Fairway Medical Associates Pc | |
|
144 S 8th St Suite 111 Chambersburg PA 17201-2767 | |
| (717) 264-6511 | |
| (717) 264-1081 |
| Full Name | Fairway Medical Associates Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 144 S 8th St, Chambersburg, Pennsylvania |
| Authorized Official Name and Position | Samuel Q Bricker (PHYSICIAN) |
| Authorized Official Contact | 7172646511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairway Medical Associates Pc 144 S 8th St Suite 111 Chambersburg PA 17201-2755 Ph: (717) 264-6511 | Fairway Medical Associates Pc 144 S 8th St Suite 111 Chambersburg PA 17201-2767 Ph: (717) 264-6511 |
| NPI Number | 1164460135 |
|---|---|
| Provider Enumeration Date | 06/03/2006 |
| Last Update Date | 10/30/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164460135 | NPI | - | NPPES |
| 0009928520001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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