Organization
BHS SENECA MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMI CLARK (PRACTICE ADMINISTRATOR)
(814) 676-5624
Entity
Organization
Contact information
Practice address
1 PARK WAY, SENECA, PA 16346-2414
(814) 676-5444
(814) 676-0342
Mailing address
PO BOX 802, SENECA, PA 16346-0802
(814) 676-5444
(814) 676-0342
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
359061
MEDICARE
PA
Enumeration date
02/13/2014
Last updated
09/10/2014
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