Healthcare Provider Details

I. General information

NPI: 1831137082
Provider Name (Legal Business Name): SOMERSET OB/GYN ASSOCAITES, LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

229 S KIMBERLY AVE SUITE 200
SOMERSET PA
15501-2022
US

IV. Provider business mailing address

229 S KIMBERLY AVE SUITE 200
SOMERSET PA
15501-2022
US

V. Phone/Fax

Practice location:
  • Phone: 814-445-3535
  • Fax: 814-445-3245
Mailing address:
  • Phone: 814-445-3535
  • Fax: 814-445-3245

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number State

VIII. Authorized Official

Name: BETH LAPE
Title or Position: BILLING COORDINATOR
Credential:
Phone: 814-445-3535