| Punxsutawney Community Health Center | |
|
200 Prushnok Dr Punxsutawney PA 15767-2343 | |
| (814) 938-3310 | |
| (814) 938-6804 |
| Full Name | Punxsutawney Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 200 Prushnok Dr, Punxsutawney, Pennsylvania |
| Authorized Official Name and Position | Carl A Sizer (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7243423012 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Punxsutawney Community Health Center 63 Pitt St Sharon PA 16146-2102 Ph: (724) 342-3002 | Punxsutawney Community Health Center 200 Prushnok Dr Punxsutawney PA 15767-2343 Ph: (814) 938-3310 |
| NPI Number | 1790101103 |
|---|---|
| Provider Enumeration Date | 03/10/2014 |
| Last Update Date | 07/20/2022 |
| Medicare PECOS PAC ID | 9234046228 |
|---|---|
| Medicare Enrollment ID | O20120106000105 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790101103 | NPI | - | NPPES |
| 1007578460110 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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