Gateway Area Medical Pcp

LBN: Gateway Area Medical Pcp
Gateway Area Medical Pcp is an health care organization with primary practice located at 635C Maple Ave , Du Bois PA 15801-2377. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Gateway Area Medical Pcp can be contacted via phone (814) 371-1771, or through Nowak, Linda J via phone (814) 371-1771.

Contact Information

Primary practice address
635C Maple Ave Du Bois PA 15801-2377
Phone: (814) 371-1771
Fax: (814) 371-4417
Website:
Map and Directions
Authorized official contact:
Name: Nowak, Linda J
Phone: (814) 371-1771

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1104881648
LBN Legal business name Gateway Area Medical Pcp
DBA Doing business as
Authorized official Nowak, Linda J
Entity Organization
Organization subpart 1 No
Enumeration date Apr 18th, 2006
Last updated Dec 13th, 2010 - about 14 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 1104881648 NPPES
Pennsylvania MEDICAID 0010511850004

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