Organization
HYNDMAN AREA HEALTH CENTER, INC.
Active
Other names
HAHC - Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM KURTYCZ (CEO)
(814) 709-9801
Entity
Organization
Contact information
Practice address
144 5TH AVE, HYNDMAN, PA 15545-7379
(814) 842-3206
(814) 842-3746
Mailing address
144 5TH AVE, PO BOX 706, HYNDMAN, PA 15545-7379
(814) 842-3206
(814) 842-3746
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007332810003
—
PA
Enumeration date
12/26/2013
Last updated
08/19/2021
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