Organization
CONNEAUT VALLEY HEALTH CENTER INC.
Active
Other names
CONNEAUT VALLEY MENTAL HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL C DOWNING FACHE (CHIEF EXECUTIVE OFFICER)
(814) 373-2449
Entity
Organization
Contact information
Practice address
747 TERRACE ST, MEADVILLE, PA 16335-1737
(814) 373-2976
(814) 333-7071
Mailing address
906 WASHINGTON ST, PO BOX E, CONNEAUTVILLE, PA 16406-7138
(814) 373-2276
(814) 587-2918
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW015852
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007230030015
—
PA
01
—
191386
HIGHMARK BC/BS
PA
01
—
CE7746
RR MEDICARE
PA
Enumeration date
09/09/2008
Last updated
09/09/2008
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