# ACMH PHYSICIAN SERVICES

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003986597
- **Authorized official:** PATRICK BURNS (VICE PRESIDENT OF FINANCE CFO)
- **Authorized official phone:** (724) 543-8168

## Contact information

- **Practice address:** 3615 STATE ROUTE 28 AND 66, NEW BETHLEHEM, PA 16242-8107
- **Practice address phone:** (724) 543-8164
- **Practice address fax:** (724) 543-8616
- **Mailing address:** PO BOX 579, KITTANNING, PA 16201-0579
- **Mailing address phone:** (724) 543-8164
- **Mailing address fax:** (724) 543-8616

## Taxonomy

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

## Other

- **Enumeration date:** 11/09/2006
- **Last updated:** 11/21/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1017501890001 | — | PA |
| 01 | — | 1549492 | GATEWAY | PA |
| 01 | — | 1903758 | BLUE SHIELD | PA |