Healthcare Provider Details
I. General information
NPI: 1184682643
Provider Name (Legal Business Name): US COMPLETE CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/03/2006
Last Update Date: 09/13/2024
Certification Date: 09/13/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6 RAILROAD ST
SAINT MARYS PA
15857-1729
US
IV. Provider business mailing address
6 RAILROAD ST
SAINT MARYS PA
15857-1729
US
V. Phone/Fax
- Phone: 814-834-7180
- Fax: 814-834-6510
- Phone: 814-834-7180
- Fax: 814-834-6510
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WD0400X |
| Taxonomy | Diabetes Educator Registered Nurse |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336C0002X |
| Taxonomy | Clinic Pharmacy |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336L0003X |
| Taxonomy | Long Term Care Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MOLLY
A
BEIMEL
Title or Position: COO
Credential: PHARM.D.
Phone: 814-834-7915