Broad Top Area Medical Center INC
NPI #1063514453 in Broad Top, Pennsylvania
Provider Information
- NPI Number
- 1063514453
- Entity Type
- Organization
- Organization Name
- Broad Top Area Medical Center INC
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Sep 5, 2006
- Last Updated
- Apr 22, 2021
Practice Location
- Address
- 4133 MEDICAL CENTER DRIVE, BOX 127
- City
- Broad Top
- State
- Pennsylvania
- ZIP Code
- 16621-0127
- Phone
- (814) 635-2916
Authorized Official
- Name
- JOHN ROTH, MD
- Title
- CEO
- Phone
- (814) 635-2916
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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