Healthcare Provider Details

I. General information

NPI: 1043357635
Provider Name (Legal Business Name): HEALTH FIRST MEDICAL CENTER, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2007
Last Update Date: 04/07/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1829 UNIVERSITY DR
DUNBAR PA
15431-2050
US

IV. Provider business mailing address

1829 UNIVERSITY DR
DUNBAR PA
15431-2050
US

V. Phone/Fax

Practice location:
  • Phone: 724-628-6677
  • Fax: 724-628-4611
Mailing address:
  • Phone: 724-628-6677
  • Fax: 724-628-4611

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. FRED C EDGE
Title or Position: OWNER
Credential: DC,MD
Phone: 724-628-6677