National Provider Identifier Database

FAMILY HEALTH CARE CENTER OF PUNXSUTAWNEY INC
Rural Health


Contact Information

FAMILY HEALTH CARE CENTER OF PUNXSUTAWNEY, INC.
83 HILLCREST DR
SUITE 200
PUNXSUTAWNEY, PA15767-2605
Phone: 814-938-3550
Fax: 814-938-3679
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X

* Indicates primary specialty

NPI Profile & details for FAMILY HEALTH CARE CENTER OF PUNXSUTAWNEY, INC.

NPI Number 1295005361
Legal business name
LBN
FAMILY HEALTH CARE CENTER OF PUNXSUTAWNEY, INC.
Authorized official PHILLIP STATES - (OWNER/PROPRIETOR)
Entity Organization
Organization subpart No
Enumeration date 01/06/2012
Last updated 04/28/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • PA License #: 393918
  • PA Medicaid: 1019257860003
  • Other: 393918 RHC CCN

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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