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Organization

BROAD TOP AREA MEDICAL CENTER, INC

Active
Parent organization
BROAD TOP AREA MEDICAL CENTER, INC
Other names
Mount Union Area Medical Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
BROAD TOP AREA MEDICAL CENTER, INC
Authorized official
JOHN ROTH MD (CEO)
(814) 635-2916
Entity
Organization

Contact information

Practice address
95 S PARK ST, MOUNT UNION, PA 17066-1334
(815) 542-8627
(814) 542-5444
Mailing address
PO BOX 127, BROAD TOP, PA 16621-0127
(814) 635-7351
(814) 635-7354

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Enumeration date
12/22/2017
Last updated
04/22/2021
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