Organization
MEDICAL ASSOCIATES OF BOSWELL
Active
Parent organization
MEDICAL ASSOCIATES OF BOSWELL
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDICAL ASSOCIATES OF BOSWELL
Authorized official
WILLILAM O. THOMPSON M.D. (PRESIDENT)
(814) 893-5568
Entity
Organization
Contact information
Practice address
136 S PINE AVE, STOYSTOWN, PA 15563-6002
(814) 893-5568
(814) 893-5989
Mailing address
430 STONYCREEK ST, BOSWELL, PA 15531-1024
(814) 893-5568
(814) 893-5989
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD041994E
PA
261QR1300X
Rural Health Clinic/Center
Primary
MD041994E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000069206
HIGHMARK
PA
01
—
000322665
HIGHMARK
PA
05
—
1007698380001
—
PA
05
—
1007698380002
—
PA
Enumeration date
05/18/2006
Last updated
05/14/2008
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