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Organization

ACMH PHYSICIAN SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PATRICK BURNS (VICE PRESIDENT OF FINANCE CFO)
(724) 543-8168
Entity
Organization

Contact information

Practice address
3615 STATE ROUTE 28 AND 66, NEW BETHLEHEM, PA 16242-8107
(724) 543-8164
(724) 543-8616
Mailing address
PO BOX 579, KITTANNING, PA 16201-0579
(724) 543-8164
(724) 543-8616

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1017501890001
PA
01
1549492
GATEWAY
PA
01
1903758
BLUE SHIELD
PA
Enumeration date
11/09/2006
Last updated
11/21/2007
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