Organization
CONNEAUT VALLEY HEALTH CENTER PODIATRY
Active
Organization
CONNEAUT VALLEY HEALTH CENTER PODIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL C DOWNING FACHE, CMPE (CEO)
(814) 373-2449
Entity
Organization
Contact information
Practice address
906 WASHINGTON ST, CONNEAUTVILLE, PA 16406-7138
(814) 373-2276
(814) 587-2918
Mailing address
1009 WATER ST, SECOND FLOOR, MEADVILLE, PA 16335-3465
(814) 373-2449
(814) 373-3050
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
SC004174R
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007230030001
—
PA
Enumeration date
03/09/2007
Last updated
04/14/2014
Update your record
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