| Mainline Medical Associates Inc | |
|
1400 9th Ave Altoona PA 16602-2415 | |
| (814) 941-8811 | |
| (814) 941-8828 |
| Full Name | Mainline Medical Associates Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1400 9th Ave, Altoona, Pennsylvania |
| Authorized Official Name and Position | Val Mignogna (PRACTICE MANAGER) |
| Authorized Official Contact | 8149418811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mainline Medical Associates Inc 792 Gallitzin Rd Cresson PA 16630-2213 Ph: (814) 886-8161 | Mainline Medical Associates Inc 1400 9th Ave Altoona PA 16602-2415 Ph: (814) 941-8811 |
| NPI Number | 1790796100 |
|---|---|
| Provider Enumeration Date | 08/10/2006 |
| Last Update Date | 10/26/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790796100 | NPI | - | NPPES |
| 001746002 | Medicaid | PA | |
| 056175 | Other | PA | HIGHMARK GROUP PROVIDER # |
| 056175 | Other | PA | MEDICARE ID - TYPE UNSPECIFIED PT GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 291U00000X | Clinical Medical Laboratory | 010099A (Pennsylvania) | Secondary |
Judith L. Jacobus, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1701 12th Ave. Bldg F, Altoona, PA 16601 Phone: 814-944-8012 Fax: 814-944-4852 | |
Altoona Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1701 12th Ave, Altoona, PA 16601 Phone: 814-942-9600 Fax: 814-942-9617 | |
Blair Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1414 9th Ave, Station Medical Center, Altoona, PA 16602 Phone: 814-946-1655 Fax: 814-949-7616 | |
Altoona Behavioral Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 620 Howard Ave, Altoona, PA 16601 Phone: 814-942-5000 Fax: 814-942-9500 | |
Upmc Altoona Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 620 Howard Ave., Altoona, PA 16601 Phone: 814-889-2223 Fax: 814-889-7808 | |
Blair Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1414 9th Ave, Station Medical Center, Altoona, PA 16602 Phone: 814-946-1655 Fax: 814-949-7616 | |
K Siripala Md & Assoc Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 312 Chestnut Ave, Altoona, PA 16601 Phone: 814-946-3500 Fax: 814-946-5067 |