Healthcare Provider Details
I. General information
NPI: 1730336850
Provider Name (Legal Business Name): FAMILY PLANNING SERVICES OF MERCER COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/20/2008
Last Update Date: 08/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
87 STAMBAUGH AVE SUITE 1
SHARON PA
16146-2775
US
IV. Provider business mailing address
87 STAMBAUGH AVE SUITE 1
SHARON PA
16146-2775
US
V. Phone/Fax
- Phone: 724-981-1671
- Fax: 724-981-9444
- Phone: 724-981-1671
- Fax: 724-981-9444
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QA0005X |
| Taxonomy | Ambulatory Family Planning Facility |
| License Number | MD037936E |
| License Number State | PA |
VIII. Authorized Official
Name: MRS.
SHIRLEY
A.
BURSEY
Title or Position: DIRECTOR
Credential:
Phone: 724-981-1671