Organization
BROAD TOP AREA MEDICAL CENTER, INC
Active
Parent organization
BROAD TOP AREA MEDICAL CENTER, INC
Other names
BTAMC SHCMC Dental Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
BROAD TOP AREA MEDICAL CENTER, INC
Authorized official
SHANI REED (ENROLLMENT DIRECTOR)
(814) 506-2846
Entity
Organization
Contact information
Practice address
626 WATER ST STE 2, ORBISONIA, PA 17243-9432
(814) 447-3159
Mailing address
4133 MEDICAL CENTER DR, BROAD TOP, PA 16621-9001
(814) 635-2916
(814) 635-2918
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
07/11/2022
Last updated
07/11/2022
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