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Contact Information

UNITED MEDICAL CLINIC OF PA, LLC
5201 PENNELL RD STE A
MEDIA, PA19063-6502
 Phone: 877-346-4543
 Fax: 866-713-7699
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for UNITED MEDICAL CLINIC OF PA, LLC

NPI # 1629397294
LBN Legal business name UNITED MEDICAL CLINIC OF PA, LLC
Authorized official LEEMU KERKULA - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/21/2010
Last updated 06/30/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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