MEDICARE: CHAMBERS FAMILY HEALTH PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	MD065092L	PA

General Provider Information

NPI Number	:	1578567061
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHAMBERS FAMILY HEALTH PC

Provider Business Mailing Address
First Line	:	298 MAIN ST
Second Line	:
City	:	BROOKVILLE
State	:	PA
Zip	:	15825-1251
Country	:	US
Telephone Number	:	814-849-5288
Fax Number	:	814-849-5819

Provider Business Practice Location Address
First Line	:	298 MAIN ST
Second Line	:
City	:	BROOKVILLE
State	:	PA
Zip	:	15825-1251
Country	:	US
Telephone Number	:	814-849-5288
Fax Number	:	814-849-5819

Authorized Official
Title or Position	:	PRACTICE MANAGER, VP
Name	:	MR. GREGORY A CHAMBERS
Credential	:
Telephone Number	:	814-849-5288

Provider Enumeration Date	:	06/13/2005
Last Update Date	:	07/12/2007

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