Upper Allegheny Medical Center

LBN: Port Allegany Area Family Practice Pc
Upper Allegheny Medical Center is an health care organization with primary practice located at 1 Willow St , Port Allegany PA 16743-1332. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Rural Health, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Family. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Port Allegany Area Family Practice Pc can be contacted via phone (814) 642-9531, or through Shelley, Mark H via phone (814) 642-9531.

Contact Information

Primary practice address
1 Willow St Port Allegany PA 16743-1332
Phone: (814) 642-9531
Fax: (814) 642-2020
Website:
Map and Directions
Authorized official contact:
Name: Shelley, Mark H Doctor of Medicine (MD)
Phone: (814) 642-9531

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD029656E Pennsylvania
Ambulatory Health Care Facilities / Rural Health 261QR1300X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MA053689 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X SP008214 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X SP009929 Pennsylvania

Profile Details

NPI number 1962469486
LBN Legal business name Port Allegany Area Family Practice Pc
DBA Doing business as Upper Allegheny Medical Center
Authorized official Shelley, Mark H Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 27th, 2006
Last updated Jun 22nd, 2022 - about 3 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 1962469486 NPPES
Other CF9006 RAILROAD MEDICARE
MEDICAID 0014032880001 RAILROAD MEDICARE
Other 861827 RAILROAD MEDICARE

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