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Organization
NORTH COLUMBIA MEDICAL OFFICES, INC.
Active
Organization
NORTH COLUMBIA MEDICAL OFFICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD A PRISUTA D.O. (PRESIDENT)
(570) 925-6424
Entity
Organization
Contact information
Practice address
4469 RED ROCK RD, BENTON, PA 17814-7606
(570) 925-6424
(570) 925-5930
Mailing address
PO BOX 390, BENTON, PA 17814-0390
(570) 925-6424
(570) 925-5930
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02283200
CAPITAL BLUE CROSS
PA
05
—
1007396970001
—
PA
01
—
506030
HIGHMARK BLUE SHIELD
PA
01
—
C325
GEISINGER HEALTH PLAN
—
01
—
M2378
RAILROAD MEDICARE
—
Enumeration date
04/04/2006
Last updated
08/22/2020
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