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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