# GREENE COUNTY FAMILY PRACTICE, PC

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

## Provider details

- **NPI number:** 1104855337
- **Authorized official:** DR. AMY R NEGREY MD (PRESIDENT)
- **Authorized official phone:** (724) 627-8582

## Contact information

- **Practice address:** 430 E OAKVIEW DR, SUITE A, WAYNESBURG, PA 15370-9729
- **Practice address phone:** (724) 627-8582
- **Practice address fax:** (724) 627-7756
- **Mailing address:** 430 E OAKVIEW DR, SUITE A, WAYNESBURG, PA 15370-9729
- **Mailing address phone:** (724) 627-8582
- **Mailing address fax:** (724) 627-7756

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD068043L | PA | Yes |

## Other

- **Enumeration date:** 07/01/2006
- **Last updated:** 04/20/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0177896460001 | — | PA |
| 01 | — | 094575 | AETNA | PA |
| 01 | — | 1508380 | GATEWAY | PA |
| 01 | — | 781907 | BCBS | PA |