Blue And Green Medical Pc

LBN: Blue And Green Medical Pc
Blue And Green Medical Pc is an health care organization with primary practice located at 1743 Goucher Street , Johnstown PA 15905. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Blue And Green Medical Pc can be contacted via phone (814) 255-0102, or through Tepper, Nelly G via phone (814) 255-0102.

Contact Information

Primary practice address
1743 Goucher Street Johnstown PA 15905
Phone: (814) 255-0102
Fax: (814) 255-0100
Website:
Map and Directions
Authorized official contact:
Name: Tepper, Nelly G Doctor of Medicine (MD)
Phone: (814) 255-0102

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD059706L Pennsylvania

Profile Details

NPI number 1821206178
LBN Legal business name Blue And Green Medical Pc
DBA Doing business as
Authorized official Tepper, Nelly G Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821206178 NPPES
Pennsylvania MEDICAID 0015959820012
Pennsylvania Other 1553821
Pennsylvania Other 883775

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