Organization
CONNEAUT VALLEY HEALTH CENTER INC.
Active
Organization
CONNEAUT VALLEY HEALTH CENTER INC.
Active
Other names
CONNEAUT LAKE HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL DOWNING (CEO)
(814) 373-2449
Entity
Organization
Contact information
Practice address
10926 HIGHWAY 18, CONNEAUT LAKE, PA 16316-3526
(814) 382-0446
(814) 382-7386
Mailing address
1034 GROVE ST, MEADVILLE, PA 16335-2945
(814) 373-2449
(814) 373-3050
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
OS011018L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007230030012
—
PA
01
—
191386
HIGHMARK BC/BS
PA
Enumeration date
10/27/2006
Last updated
04/10/2014
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