Organization
CONNEAUT VALLEY HEALTH CENTER INC.
Active
Organization
CONNEAUT VALLEY HEALTH CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RENATO J. SUNTAY (CHIEF FINANCIAL OFFICER)
(814) 373-2449
Entity
Organization
Contact information
Practice address
906 WASHINGTON ST, CONNEAUTVILLE, PA 16406
(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
207Q00000X
Family Medicine Physician
OS011018L
PA
261QR1300X
Rural Health Clinic/Center
Primary
OS011018L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007230030001
—
PA
01
—
191386
HIGHMARK BC/BS
PA
01
—
CE7746
RAIL ROAD MEDICARE
PA
Enumeration date
07/19/2006
Last updated
04/16/2014
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