Organization
PEDIATRIC CARE SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERRI LYNN PARSHALL (BILLING CLERK)
(814) 266-8840
Entity
Organization
Contact information
Practice address
1322 EISENHOWER BLVD, JOHNSTOWN, PA 15904-3307
(814) 266-8840
(814) 266-8840
Mailing address
1322 EISENHOWER BLVD, JOHNSTOWN, PA 15904-3307
(814) 266-8840
(814) 266-2176
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QP2300X
Primary Care Clinic/Center
MD-039547-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007708200003
—
PA
Enumeration date
09/21/2005
Last updated
05/20/2020
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