| Latrobe Health Center | |
|
529 Lloyd Ave Latrobe PA 15650-1721 | |
| (724) 804-5195 | |
| (724) 804-5980 |
| Full Name | Latrobe Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 529 Lloyd Ave, Latrobe, Pennsylvania |
| Authorized Official Name and Position | Carl A Sizer (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7243420126 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Latrobe Health Center 63 Pitt St Sharon PA 16146-2102 Ph: (724) 342-3002 | Latrobe Health Center 529 Lloyd Ave Latrobe PA 15650-1721 Ph: (724) 804-5195 |
| NPI Number | 1659807485 |
|---|---|
| Provider Enumeration Date | 05/11/2017 |
| Last Update Date | 07/20/2022 |
| Medicare PECOS PAC ID | 9234046228 |
|---|---|
| Medicare Enrollment ID | O20170606000410 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659807485 | NPI | - | NPPES |
| 1007578460126 | Medicaid | PA | |
| 0239869 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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