Tylerdale Family Medicine Pc
LBN: Tylerdale Family Medicine Pc
Tylerdale Family Medicine Pc is an health care organization with primary practice located at 151 N Franklin St , Washington PA 15301-4307. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Tylerdale Family Medicine Pc can be contacted via phone (724) 222-7240, or through Kitsko, Dennis via phone (724) 222-7240.
Contact Information
Primary practice address
151 N Franklin St
Washington PA 15301-4307
Phone: (724) 222-7240
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X |
Profile Details
| NPI number | 1194794057 |
|---|---|
| LBN Legal business name | Tylerdale Family Medicine Pc |
| DBA Doing business as | |
| Authorized official | Kitsko, Dennis Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Oct 27th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194794057 | NPPES |
| Pennsylvania | Other | 124474 | HIGHMARK BS/KHPW |
| Pennsylvania | MEDICAID | 0009402480001 | HIGHMARK BS/KHPW |
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