| Valley Ambulatory Health Center, P.c. | |
|
238 Indiana Street Seward PA 15954 | |
| (814) 446-5695 | |
| (814) 446-4209 |
| Full Name | Valley Ambulatory Health Center, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 238 Indiana Street, Seward, Pennsylvania |
| Authorized Official Name and Position | Dennis Lee Eckels (PHYSICAN, OWNER OF COMPANY) |
| Authorized Official Contact | 8144465695 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Ambulatory Health Center, P.c. Po Box 486 Seward PA 15954-0486 Ph: (814) 446-5695 | Valley Ambulatory Health Center, P.c. 238 Indiana Street Seward PA 15954 Ph: (814) 446-5695 |
| NPI Number | 1750410346 |
|---|---|
| Provider Enumeration Date | 03/02/2007 |
| Last Update Date | 02/09/2010 |
| Medicare PECOS PAC ID | 7517904253 |
|---|---|
| Medicare Enrollment ID | O20050413001046 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750410346 | NPI | - | NPPES |
| 0015077380001 | Medicaid | PA | |
| 01586199 | Other | HIGHMARK BLUE CROSS BLUE SHIELD GROUP NUMBER | |
| 073815 | Other | PA | ECKELS BLUE CROSS BLUE SH |
| P00209792 | Other | PA | PALMETTO GBA |
| 100236 | Other | PA | ECKELS UPMC ID NUMBER |
| 255520 | Other | PA | HEALTH AMERICA GROUP NO. |
| 4556169 | Other | PA | ECKELS AETNA NUMBER |
| OS-003436-L | Other | PA | ECKELS LICENSE NUMBER |
| B35010 | Other | ECKELS UPIN | |
| 1014729580001 | Medicaid | PA | |
| 613037300 | Other | PA | FEDERAL BLACK LUNG |
| P00223863 | Other | PA | PALMETTO GBA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS-009298-L (Pennsylvania) | Secondary |
| 207Q00000X | Family Medicine | OS-003436-L (Pennsylvania) | Primary |
| Provider Name | Dennis Lee Eckels |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578507521 PECOS PAC ID: 5698665560 Enrollment ID: I20040316001116 |
Dlp Conemaugh Physician Practices Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6854 Route 711, Seward, PA 15954 Phone: 814-446-4032 Fax: 814-446-4033 | |
Conemaugh Health Initiatives Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6872 Route 711, Seward, PA 15954 Phone: 814-446-4032 Fax: 814-446-4033 |