Organization
FREEDOM HEALTHCARE SERVICES
Active
Organization
FREEDOM HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LOUIS H FARMER III (PRESIDENT)
(412) 221-1091
Entity
Organization
Contact information
Practice address
316 STATION ST, SUITE 100, BRIDGEVILLE, PA 15017-1833
(412) 221-1091
(412) 221-2939
Mailing address
316 STATION ST, SUITE 100, BRIDGEVILLE, PA 15017-1833
(412) 221-1091
(412) 221-2939
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
350267065S
OH
207VG0400X
Gynecology Physician
MD034854L
PA
261QM1300X
Multi-Specialty Clinic/Center
Primary
707264
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
707264
PA FACILITY LICENSE
PA
Enumeration date
01/21/2009
Last updated
01/31/2012
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