| Millcreek Community Hospital | |
|
5401 Peach St Ste 3400 Erie PA 16509-2601 | |
| (814) 868-7860 | |
| (814) 868-2109 |
| Full Name | Millcreek Community Hospital |
|---|---|
| Speciality | Family Medicine |
| Location | 5401 Peach St Ste 3400, Erie, Pennsylvania |
| Authorized Official Name and Position | Michael Heller (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 8148687758 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Millcreek Community Hospital 5515 Peach St Erie PA 16509-2603 Ph: (814) 864-4031 | Millcreek Community Hospital 5401 Peach St Ste 3400 Erie PA 16509-2601 Ph: (814) 868-7860 |
| NPI Number | 1174158737 |
|---|---|
| Provider Enumeration Date | 03/04/2020 |
| Last Update Date | 03/04/2020 |
| Medicare PECOS PAC ID | 8426020173 |
|---|---|
| Medicare Enrollment ID | O20200617002301 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174158737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Primary |
| Provider Name | Patrick Leary |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1558362277 PECOS PAC ID: 6800839325 Enrollment ID: I20051123000038 |
| Provider Name | Christopher W Rial |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1174844310 PECOS PAC ID: 4284857129 Enrollment ID: I20140522001547 |
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