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Organization
VALLEY AMBULATORY HEALTH CENTER, P.C.
Active
Organization
VALLEY AMBULATORY HEALTH CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS LEE ECKELS D.O., F.A.A.F.P. (PHYSICAN, OWNER OF COMPANY)
(814) 446-5695
Entity
Organization
Contact information
Practice address
238 INDIANA STREET, SEWARD, PA 15954
(814) 446-5695
(814) 446-4209
Mailing address
PO BOX 486, SEWARD, PA 15954-0486
(814) 446-5695
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS-003436-L
PA
207Q00000X
Family Medicine Physician
OS-009298-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015077380001
—
PA
01
—
01586199
HIGHMARK BLUE CROSS BLUE SHIELD GROUP NUMBER
—
01
—
073815
ECKELS BLUE CROSS BLUE SH
PA
01
—
100236
ECKELS UPMC ID NUMBER
PA
05
—
1014729580001
—
PA
01
—
255520
HEALTH AMERICA GROUP NO.
PA
01
—
4556169
ECKELS AETNA NUMBER
PA
01
—
613037300
FEDERAL BLACK LUNG
PA
01
—
B35010
ECKELS UPIN
—
01
—
OS-003436-L
ECKELS LICENSE NUMBER
PA
01
—
P00209792
PALMETTO GBA
PA
01
—
P00223863
PALMETTO GBA
PA
Enumeration date
03/02/2007
Last updated
02/09/2010
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