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Organization

SECURE HEALTH, LP

Active
Other names
MOUNT CARMEL OUTPATIENT REHAB CLINIC
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRIAN D KLINGERMAN (VICE PRESIDENT)
(570) 784-0111
Entity
Organization

Contact information

Practice address
700 W 3RD ST, MOUNT CARMEL, PA 17851-1855
(570) 339-3909
(570) 339-1745
Mailing address
700 W 3RD ST, MOUNT CARMEL, PA 17851-1855
(570) 339-3909
(570) 339-1745

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001450531
BLUE SHIELD PROFESSIONAL
Enumeration date
03/19/2008
Last updated
04/21/2009
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