# IRWIN FAMILY CARE, PC

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

## Provider details

- **NPI number:** 1851330658
- **Authorized official:** DR. JAWDAT A NIKOULA M.D. (M.D./OWNER)
- **Authorized official phone:** (724) 832-7887

## Contact information

- **Practice address:** 905 SPRUCE ST STE 201, IRWIN, PA 15642-3683
- **Practice address phone:** (724) 864-9595
- **Practice address fax:** (724) 864-9860
- **Mailing address:** 905 SPRUCE ST, N HUNTINGDON, PA 15642-3683
- **Mailing address phone:** (724) 864-9595
- **Mailing address fax:** (724) 864-9860

## Taxonomy

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

## Other

- **Enumeration date:** 06/06/2006
- **Last updated:** 07/14/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001263310002 | — | PA |
| 01 | — | CA3219 | RAILROAD MEDICARE | PA |