| Medi-surg Of Meadville Inc | |
|
765 Liberty St Suite # 301 Meadville PA 16335-2566 | |
| (814) 336-3506 | |
| Not Available |
| Full Name | Medi-surg Of Meadville Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 765 Liberty St, Meadville, Pennsylvania |
| Authorized Official Name and Position | Kenneth Challener (OWNER) |
| Authorized Official Contact | 8143363506 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medi-surg Of Meadville Inc 765 Liberty St Suite # 301 Meadville PA 16335-2566 Ph: (814) 336-3506 | Medi-surg Of Meadville Inc 765 Liberty St Suite # 301 Meadville PA 16335-2566 Ph: (814) 336-3506 |
| NPI Number | 1447336540 |
|---|---|
| Provider Enumeration Date | 10/31/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 5395747919 |
|---|---|
| Medicare Enrollment ID | O20070212000401 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447336540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Kenneth R Challener |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881626471 PECOS PAC ID: 1850399882 Enrollment ID: I20061129000236 |
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