Healthcare Provider Details

I. General information

NPI: 1912676818
Provider Name (Legal Business Name): US COMPLETE CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2021
Last Update Date: 01/31/2022
Certification Date: 01/31/2022
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

Practice location:
  • Phone: 814-834-7180
  • Fax:
Mailing address:
  • Phone: 814-834-7915
  • Fax: 814-834-6510

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong 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