| Tyrone Hospital | |
|
120 Spring St Houtzdale PA 16651-1400 | |
| (814) 497-4297 | |
| (814) 497-4312 |
| Full Name | Tyrone Hospital |
|---|---|
| Speciality | Clinic/Center |
| Location | 120 Spring St, Houtzdale, Pennsylvania |
| Authorized Official Name and Position | Brian S Kline (VP FINANCIAL AFFAIRS) |
| Authorized Official Contact | 8143756377 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tyrone Hospital 187 Hospital Dr Tyrone PA 16686-1808 Ph: (814) 375-4200 | Tyrone Hospital 120 Spring St Houtzdale PA 16651-1400 Ph: (814) 497-4297 |
| NPI Number | 1124456157 |
|---|---|
| Provider Enumeration Date | 10/30/2013 |
| Last Update Date | 03/23/2026 |
| Medicare PECOS PAC ID | 4183619885 |
|---|---|
| Medicare Enrollment ID | O20140204001682 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124456157 | NPI | - | NPPES |
| 100773400-0026 | Medicaid | PA | |
| 393427 | Other | PA | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Clear Med Provider Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 710 Brisbin St, Houtzdale, PA 16651 Phone: 814-378-7632 Fax: 814-738-5225 |