National Provider Identifier Database

BUTLER MEDICAL PROVIDERS
Rural Health


Contact Information

BUTLER MEDICAL PROVIDERS
82 TOWN RUN RD
FAIRMOUNT CITY, PA16224-1502
Phone: 814-275-1600
Fax: 814-275-1610
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X

* Indicates primary specialty

NPI Profile & details for BUTLER MEDICAL PROVIDERS

NPI Number 1386253854
Legal business name
LBN
BUTLER MEDICAL PROVIDERS
Authorized official SCOTT MADDEN - (COO PHYSICIAN NETWORK)
Entity Organization
Organization subpart No
Enumeration date 07/30/2020
Last updated 04/18/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • PA Medicaid: 001644521-0133
  • PA Other: 4572039 BLUE SHIELD

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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