| Southwest Medical Center-radiology | |
|
119 Wilson Rd Bentleyville PA 15314-1027 | |
| (724) 239-4700 | |
| (724) 239-3262 |
| Full Name | Southwest Medical Center-radiology |
|---|---|
| Speciality | Internal Medicine |
| Location | 119 Wilson Rd, Bentleyville, Pennsylvania |
| Authorized Official Name and Position | Kamlesh B Gosai (OWNER/CEO) |
| Authorized Official Contact | 7242394700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Medical Center-radiology 119 Wilson Rd Bentleyville PA 15314-1027 Ph: (724) 239-4700 | Southwest Medical Center-radiology 119 Wilson Rd Bentleyville PA 15314-1027 Ph: (724) 239-4700 |
| NPI Number | 1548279557 |
|---|---|
| Provider Enumeration Date | 08/07/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548279557 | NPI | - | NPPES |
| MD017650E | Other | PA | LICENSE |
| MD043417 | Other | PA | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD017650E (Pennsylvania) | Primary |
Centerville Clinics, Inc, Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Wilson Rd, Bentleyville, PA 15314 Phone: 724-239-2390 | |
Centerville Clinics, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 Wilson Rd, Bentleyville, PA 15314 Phone: 724-239-2390 | |
Southwest Medical Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 119 Wilson Rd, Bentleyville, PA 15314 Phone: 724-239-4700 Fax: 724-239-3262 |