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Organization
PRIME MEDICAL GROUP
Active
Organization
PRIME MEDICAL GROUP
Active
Other names
Prime Medical Chauhan and Assoc
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN A HORNBAKE (MEDICAL BILLER)
(724) 929-4930
Entity
Organization
Contact information
Practice address
515 BROAD AVE, BELLE VERNON, PA 15012-1405
(724) 929-6700
Mailing address
1645 ROSTRAVER RD, SUITE 505, BELLE VERNON, PA 15012-9655
(724) 929-2640
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007726550009
—
PA
01
—
331905
HIGHMARK BLUE SHIELD
PA
01
—
692541
HIGHMARK BLUE SHIELD
PA
01
—
692646
HIGHMARK BLUE SHIELD
PA
01
—
769210
HIGHMARK BLUE SHIELD
PA
Enumeration date
07/21/2006
Last updated
01/15/2008
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