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NPI Code Detail

MEDICARE: ALLEGHNEY HEALTH CLINIC

MEDICARE: ALLEGHNEY HEALTH CLINIC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1302R00000XHealth Maintenance OrganizationOS 004995LPA

General Provider Information

NPI Number : 1275993297
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALLEGHNEY HEALTH CLINIC
Provider Business Mailing Address
First Line : 7546 STATE ROUTE 30
Second Line : FIRST FLOOR
City : IRWIN
State : PA
Zip : 15642-8808
Country : US
Telephone Number : 724-765-1030
Fax Number : 724-765-1023
Provider Business Practice Location Address
First Line : 7546 STATE ROUTE 30
Second Line : FIRST FLOOR
City : IRWIN
State : PA
Zip : 15642-7528
Country : US
Telephone Number : 724-765-1030
Fax Number : 724-765-1023
Authorized Official
Title or Position : PHYSICIAN
Name : MICHAEL HAHALYAK
Credential : DO
Telephone Number : 724-765-1030
Provider Enumeration Date : 03/03/2016
Last Update Date : 03/03/2016

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Practice Location Address:
7546 ROUTE 30 STE 0
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1588098164 — HEATHER A DRYER
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1659707644 — ALLEGHENY CLINIC
Practice Location Address:
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Practice Fax: 724-765-1023

Directions to “ALLEGHNEY HEALTH CLINIC ” Practice Location

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