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NPI Code Detail

MEDICARE: HYNDMAN AREA HEALTH CENTER, INC.

MEDICARE: HYNDMAN AREA HEALTH CENTER, INC.
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
1261QF0400XFederally Qualified Health Center (FQHC)

General Provider Information

NPI Number : 1710265939
Entity Type Code : Organization
Provider Name (Legal Business Name) : HYNDMAN AREA HEALTH CENTER, INC.
Provider Business Mailing Address
First Line : PO BOX 706
Second Line :
City : HYNDMAN
State : PA
Zip : 15545-0706
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 104 RAILROAD ST
Second Line :
City : BEDFORD
State : PA
Zip : 15522-1013
Country : US
Telephone Number : 814-263-5804
Fax Number : 814-310-2536
Authorized Official
Title or Position : CEO
Name : WILLIAM KURTYCZ
Credential :
Telephone Number : 814-263-5804
Provider Enumeration Date : 07/22/2011
Last Update Date : 05/18/2020

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