# ALLEGHENY CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Colonial Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003242140
- **Authorized official:** CECILI R JONES (ANALYST)
- **Authorized official phone:** (412) 330-4813

## Contact information

- **Practice address:** 706 EKASTOWN RD, SARVER, PA 16055-9724
- **Practice address phone:** (724) 353-1508
- **Practice address fax:** (724) 353-2040
- **Mailing address:** 706 EKASTOWN RD, SARVER, PA 16055-9724
- **Mailing address phone:** (724) 353-1508
- **Mailing address fax:** (724) 353-2040

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/20/2013
- **Last updated:** 06/25/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100731714 | — | PA |