Sandy Lake Community Health Center is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Sandy Lake, Pennsylvania. The current practice location for Sandy Lake Community Health Center is 3205 S Main St, Sandy Lake, Pennsylvania. For appointments, you can reach them via phone at
(724) 376-7111. The mailing address for Sandy Lake Community Health Center is 63 Pitt St, Sharon, Pennsylvania and phone number is (724) 342-3002.
Sandy Lake Community Health Center is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1083084495. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(724) 376-7111.
Primary Care Clinic Profile
| Full Name | Sandy Lake Community Health Center |
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| Speciality | Clinic/Center |
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| Location | 3205 S Main St, Sandy Lake, Pennsylvania |
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| Authorized Official Name and Position | Carl A Sizer (CHIEF FINANCIAL OFFICER) |
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| Authorized Official Contact | 7243420126 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Sandy Lake Community Health Center
63 Pitt St
Sharon
PA 16146-2102
Ph: (724) 342-3002 | Sandy Lake Community Health Center
3205 S Main St
Sandy Lake
PA 16145
Ph: (724) 376-7111 |
NPI Details:
| NPI Number | 1083084495 |
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| Provider Enumeration Date | 09/28/2015 |
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| Last Update Date | 07/18/2022 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 9234046228 |
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| Medicare Enrollment ID | O20151124002875 |
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Medical Identifiers
Medical identifiers for Sandy Lake Community Health Center such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083084495 | NPI | - | NPPES |
| 1007578460118 | Medicaid | PA | |
| 0164904 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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