Organization
DIGESTIVE HEALTH CENTER OF INDIANA, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNNE M ADAMS CMA (BUSINESS MANAGER/ADMINISTRATOR)
(724) 465-6384
Entity
Organization
Contact information
Practice address
1265 WAYNE AVE, SUITE 304, INDIANA, PA 15701-3501
(724) 465-6384
(724) 465-6364
Mailing address
1265 WAYNE AVE, SUITE 304, INDIANA, PA 15701-3501
(724) 465-6384
(724) 465-6364
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
1882
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0442
BLUE CROSS
PA
01
—
1830947
BLUE SHIELD
PA
01
—
1882
STATE LICENSE
PA
Enumeration date
05/23/2006
Last updated
10/20/2008
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