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Organization
NORTHERN COMMUNITIES MEDICAL ASSOCIATES
Active
Organization
NORTHERN COMMUNITIES MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLIOT L SMITH M.D. (PRESIDENT)
(724) 538-9700
Entity
Organization
Contact information
Practice address
217 E MAIN ST, EVANS CITY, PA 16033-1219
(724) 538-9700
(724) 538-9710
Mailing address
217 E MAIN ST, EVANS CITY, PA 16033-1219
(724) 538-9700
(724) 538-9710
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD053373L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013525480001
—
PA
01
—
1636234
HIGHMARK BLUE SHIELD
PA
01
—
254126
COVENTRY HEALTH PLANS
PA
01
—
DD5102
RAILROAD MEDICARE/PALMETT
PA
Enumeration date
06/11/2006
Last updated
08/22/2020
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