Organization
GLENDALE AREA MEDICAL ASSOCIATION, INC
Active
Organization
GLENDALE AREA MEDICAL ASSOCIATION, INC
Active
Other names
Glendale Area Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT VINGLAS (CEO)
(814) 672-5141
Entity
Organization
Contact information
Practice address
850 MAIN STREET, COALPORT, PA 16627-0375
(814) 672-5141
(814) 672-5461
Mailing address
850 MAIN STREET, P.O. BOX 375, COALPORT, PA 16627-0375
(814) 672-5141
(814) 672-5461
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
391822
MEDICARE
PA
01
—
CA 1965
RAILROAD MEDICARE
PA
Enumeration date
03/17/2006
Last updated
04/02/2024
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