Organization
PUNXSUTAWNEY AREA HOSPITAL INC COUNSELING CTR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK SISK (CFO)
(814) 938-1882
Entity
Organization
Contact information
Practice address
1033 TURNPIKE AVE, CLEARFIELD, PA 16830-3061
(814) 938-1810
(814) 938-1885
Mailing address
81 HILLCREST DR, PUNXSUTAWNEY, PA 15767-2605
(814) 938-1810
(814) 938-1885
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
941360
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007712640032
—
PA
Enumeration date
06/05/2008
Last updated
06/05/2008
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