GREENVILLE MEDICAL CENTER
Allergy and Immunology
Greenville, Pennsylvania
Provider NPI: 1902874142
Organization Information:Organization Name: GREENVILLE MEDICAL CENTER
Practice Location:
90 SHENANGO ST GREENVILLE, PA 16125 US
Tel: 724-588-4240 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
90 SHENANGO ST GREENVILLE, PA 16125 US
Tel: 724-588-4240 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| X | 207K00000X | Physicians Allergy & Immunology | ||
| X | 207Q00000X | Physicians Family Medicine | ||
| X | 207R00000X | Physicians Internal Medicine | ||
| X | 207RH0003X | Physicians Internal Medicine | ||
| X | 207V00000X | Physicians Obstetrics & Gynecology | ||
| X | 208000000X | Physicians Pediatrics | ||
| X | 2085B0100X | Physicians Radiology |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 0006509810001 | PA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
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