# BHS SENECA MEDICAL CENTER LLC

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

## Provider details

- **NPI number:** 1184048969
- **Authorized official:** JAMI CLARK (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (814) 676-5624

## Contact information

- **Practice address:** 1 PARK WAY, SENECA, PA 16346-2414
- **Practice address phone:** (814) 676-5444
- **Practice address fax:** (814) 676-0342
- **Mailing address:** PO BOX 802, SENECA, PA 16346-0802
- **Mailing address phone:** (814) 676-5444
- **Mailing address fax:** (814) 676-0342

## Taxonomy

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

## Other

- **Enumeration date:** 02/13/2014
- **Last updated:** 09/10/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 359061 | MEDICARE | PA |