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Organization
TITUSVILLE AREA HEALTH SERVICES, INC.
Active
Organization
TITUSVILLE AREA HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL NEELY CFO (CHIEF FINANCIAL OFFICER)
(814) 827-1852
Entity
Organization
Contact information
Practice address
335 W OAK ST, TITUSVILLE, PA 16354-1416
(814) 827-1852
(814) 827-8419
Mailing address
335 W OAK ST, TITUSVILLE, PA 16354-1416
(814) 827-1852
(814) 827-8419
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007717100006
—
PA
05
—
1007717100008
—
PA
05
—
1007717100009
—
PA
05
—
1007717100010
—
PA
05
—
1007717100021
—
PA
05
—
1007717100022
—
PA
01
—
CH2780
RAILROAD MEDICARE
PA
Enumeration date
08/09/2006
Last updated
11/22/2019
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