| Glendale Area Medical Association, Inc | |
|
850 Main Street Coalport PA 16627-0375 | |
| (814) 672-5141 | |
| (814) 672-5461 |
| Full Name | Glendale Area Medical Association, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 850 Main Street, Coalport, Pennsylvania |
| Authorized Official Name and Position | Scott Vinglas (CEO) |
| Authorized Official Contact | 8146725141 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Glendale Area Medical Association, Inc 850 Main Street P.o. Box 375 Coalport PA 16627-0375 Ph: (814) 672-5141 | Glendale Area Medical Association, Inc 850 Main Street Coalport PA 16627-0375 Ph: (814) 672-5141 |
| NPI Number | 1255300596 |
|---|---|
| Provider Enumeration Date | 03/17/2006 |
| Last Update Date | 04/02/2024 |
| Medicare PECOS PAC ID | 9335187756 |
|---|---|
| Medicare Enrollment ID | O20050418000539 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255300596 | NPI | - | NPPES |
| CA 1965 | Other | PA | RAILROAD MEDICARE |
| 391822 | Other | PA | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Brian R Oberneder |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1578502381 PECOS PAC ID: 1355245812 Enrollment ID: I20031125000765 |
| Provider Name | Jay A Robinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811972995 PECOS PAC ID: 0840453361 Enrollment ID: I20120521000478 |
| Provider Name | Sohail Shariff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194730929 PECOS PAC ID: 2567466576 Enrollment ID: I20200922003293 |