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Organization
UPMC ALTOONA REGIONAL HEALTH SERVICES, INC
Active
Organization
UPMC ALTOONA REGIONAL HEALTH SERVICES, INC
Active
Other names
Blair Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
JILL M SWAB CPCS (BILLING MANAGER)
(814) 949-7622
Entity
Organization
Contact information
Practice address
1414 9TH AVE, STATION MEDICAL CENTER, ALTOONA, PA 16602-2454
(814) 946-1655
(814) 949-7616
Mailing address
1414 9TH AVE, STATION MEDICAL CENTER, ALTOONA, PA 16602-2454
(814) 946-1655
(814) 949-7616
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1015340
GATEWAY IM
PA
01
—
1015349
GATEWAY FP
PA
01
—
1019546
GATEWAY PEDS
PA
01
—
142869
HIGHMARK PCP NUMBER
PA
01
—
W463
GEISINGER OFFICE NO.
PA
Enumeration date
01/10/2006
Last updated
02/02/2015
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