Healthcare Provider Details

I. General information

NPI: 1104895523
Provider Name (Legal Business Name): HEALTH SERVICES OF CLARION, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2006
Last Update Date: 02/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

367 ROUTE 28N
BROOKVILLE PA
15825
US

IV. Provider business mailing address

121 DOCTORS LANE
CLARION PA
16214
US

V. Phone/Fax

Practice location:
  • Phone: 814-849-0833
  • Fax: 814-849-1288
Mailing address:
  • Phone: 814-226-3470
  • Fax: 814-226-3479

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: CONNIE JEAN BEICHNER
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 814-226-3470