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General NPI Number Information
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NPI Number | 1477844975
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Entity Type | Organization
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Legal Business Name | ALTERNAMED, LLC
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Dates
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Enumeration Date | 05/02/2011
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Last Update Date | 05/02/2011
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Provider Practice Location Address
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Address Line | 913 CENTRE ST
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City | ASHLAND
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State | PA
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Zip | 17921-1243
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Country | US
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Telephone | 570-875-2308
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Fax | 570-875-3721
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Provider Business Mailing Address
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Address Line | 913 CENTRE ST
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City | ASHLAND
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State | PA
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Zip | 17921-1243
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Country | US
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Telephone | 570-875-2308
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Fax | 570-875-3721
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Authorized Official
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Title or Position | OWNER
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Name | KAREN DUZICK KEPNER
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Credential | CRNP
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Telephone | 570-875-2308
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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