| Family Medical Center | |
|
1086 Franklin St Johnstown PA 15905-4305 | |
| (814) 410-8296 | |
| (814) 410-8447 |
| Full Name | Family Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1086 Franklin St, Johnstown, Pennsylvania |
| Authorized Official Name and Position | Jean Dziagwa (DIRECTOR PATIENT ACCOUNTING) |
| Authorized Official Contact | 8144108296 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medical Center 1086 Franklin St Johnstown PA 15905-4305 Ph: (814) 410-8296 | Family Medical Center 1086 Franklin St Johnstown PA 15905-4305 Ph: (814) 410-8296 |
| NPI Number | 1407933534 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 10/23/2008 |
| Medicare PECOS PAC ID | 6002723095 |
|---|---|
| Medicare Enrollment ID | O20031117000043 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407933534 | NPI | - | NPPES |
| 1743391 | Other | PA | BLUE CROSS FMC PROFEE |
| 99195 | Other | PA | UNISON FMC |
| 1035028 | Other | PA | GATEWAY FMC |
| 1630493 | Other | PA | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Jeanne Putinas Spencer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396739454 PECOS PAC ID: 5496745689 Enrollment ID: I20040518000841 |
| Provider Name | Lynn C Johnston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114922564 PECOS PAC ID: 7810935459 Enrollment ID: I20050422000856 |
| Provider Name | Lauren E Trimeloni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225250913 PECOS PAC ID: 9830282656 Enrollment ID: I20080313000083 |
| Provider Name | Lisa Marie Casey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215909791 PECOS PAC ID: 3971574948 Enrollment ID: I20091009000560 |
| Provider Name | Ruth H Trondsen Pawlowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255566139 PECOS PAC ID: 4284883992 Enrollment ID: I20121012000154 |
| Provider Name | Bernard A Leech |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730407339 PECOS PAC ID: 7315188398 Enrollment ID: I20130802000658 |
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