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General NPI Number Information
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NPI Number | 1205985801
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Entity Type | Organization
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Legal Business Name | MEYERSDALE COMMUNITY HOSPITAL
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 04/09/2008
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Provider Practice Location Address
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Address Line | 200 HOSPITAL DR
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City | MEYERSDALE
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State | PA
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Zip | 15552-1249
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Country | US
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Telephone | 814-634-5911
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Fax | 814-634-0435
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Provider Business Mailing Address
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Address Line | 200 HOSPITAL DR
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City | MEYERSDALE
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State | PA
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Zip | 15552-1249
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Country | US
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Telephone | 814-634-5911
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Fax | 814-634-0435
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARY L. LIBENGOOD
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Credential |
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Telephone | 814-634-5911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 391101
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License Number State | PA
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