FAMILY HEALTH CARE CENTER OF PUNXSUTAWNEY, INC.; NPI #1295005361

Contact Information

FAMILY HEALTH CARE CENTER OF PUNXSUTAWNEY, INC.

83 HILLCREST DR
SUITE 200
PUNXSUTAWNEY, PA 15767-2605

Phone: 814-938-3550
Fax: 814-938-3679
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rural Health	261QR1300X	B4[14]	Rural Health Clinic

Indicates primary specialty

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

NPI # 1295005361

LBN Legal business name FAMILY HEALTH CARE CENTER OF PUNXSUTAWNEY, INC.

Authorized official PHILLIP STATES - (OWNER/PROPRIETOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/06/2012

Last updated 04/28/2015 - About 11 years ago

Identifiers

PA	License #	393918
PA	Medicaid	1019257860003
	Other	393918	RHC CCN

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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FAMILY HEALTH CARE CENTER OF PUNXSUTAWNEY, INC.

Contact Information

Specialty

Rural Health

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

Reviews for FAMILY HEALTH CARE CENTER OF PUNXSUTAWNEY, INC.