Organization
ONDICH RURAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL P. ONDICH D.O. (OWNER)
(724) 783-7124
Entity
Organization
Contact information
Practice address
10261 STATE ROUTE 85, KITTANNING, PA 16201-8165
(724) 783-7124
(724) 783-7999
Mailing address
10261 STATE ROUTE 85, KITTANNING, PA 16201-8165
(724) 783-7124
(724) 783-7999
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
OS006237L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000322671
BLUE SHIELD
—
05
—
1007508360006
—
PA
01
—
1010616
GATEWAY
—
01
—
13484
UNITED MINE WORKERS
—
01
—
203221
UPMC
—
01
—
480354
AETNA
—
Enumeration date
03/28/2008
Last updated
07/08/2008
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