PORT ALLEGANY AREA FAMILY PRACTICE PC; NPI #1962469486

Contact Information

PORT ALLEGANY AREA FAMILY PRACTICE PC

1 WILLOW ST
PORT ALLEGANY, PA 16743-1332

Phone: 814-642-9531
Fax: 814-642-2020
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Rural Health	261QR1300X	B4[14]	Rural Health Clinic
Family	363LF0000X	50	Nurse Practitioner
Family Medicine	207Q00000X	08	Physician/Family Practice
Medical	363AM0700X	97	Physician Assistant

Indicates primary specialty

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NPI Profile & details for PORT ALLEGANY AREA FAMILY PRACTICE PC

NPI Number 1962469486

LBN Legal business name PORT ALLEGANY AREA FAMILY PRACTICE PC

Authorized official MARK SHELLEY - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/27/2006

Last updated 06/22/2022 - About 4 years ago

Identifiers

PA	License #	MA053689
PA	License #	MD029656E
PA	License #	SP008214
PA	License #	SP009929
PA	Medicaid	0014032880001
	Other	CF9006	RAILROAD MEDICARE
PA	Other	861827	HIGHMARK BLUE SHIELD

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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PORT ALLEGANY AREA FAMILY PRACTICE PC

Contact Information

Specialty

Rural Health

Family

Family Medicine

Medical

NPI Profile & details for PORT ALLEGANY AREA FAMILY PRACTICE PC

Reviews for PORT ALLEGANY AREA FAMILY PRACTICE PC