Healthcare Provider Details

I. General information

NPI: 1932178282
Provider Name (Legal Business Name): HEALTH SERVICES OF CLARION, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2006
Last Update Date: 02/11/2020
Certification Date: 02/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

82 TOWN RUN RD
FAIRMOUNT CITY PA
16224-1502
US

IV. Provider business mailing address

121 DOCTORS LANE
CLARION PA
16214
US

V. Phone/Fax

Practice location:
  • Phone: 814-275-1600
  • Fax: 814-275-1610
Mailing address:
  • Phone: 814-226-3470
  • Fax: 814-226-3479

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

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