Wolf Creek Medical Associates

LBN: Wolf Creek Medical Associates
Wolf Creek Medical Associates is an health care organization with primary practice located at 647 N Broad Street Ext Wolf Creek Medical Associates, Grove City PA 16127-4604. The organization recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Surgery, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Allopathic & Osteopathic Physicians / Surgery is the primary health care specialty. Wolf Creek Medical Associates can be contacted via phone (724) 450-7004, or through Blake, Jeanne L via phone (724) 450-7004.

Contact Information

Primary practice address
647 N Broad Street Ext Wolf Creek Medical Associates Grove City PA 16127-4604
Phone: (724) 450-7004
Fax: (724) 450-7013
Website:
Map and Directions
Authorized official contact:
Name: Blake, Jeanne L
Phone: (724) 450-7004

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X Pennsylvania
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X Pennsylvania
Allopathic & Osteopathic Physicians / Surgery 208600000X Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X

Profile Details

NPI number 1376546754
LBN Legal business name Wolf Creek Medical Associates
DBA Doing business as
Authorized official Blake, Jeanne L
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2005
Last updated Jul 21st, 2022 - about 2 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 1376546754 NPPES
Pennsylvania MEDICAID 001960970

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