Organization
BROAD TOP AREA MEDICAL CENTER, INC
Active
Parent organization
BROAD TOP AREA MEDICAL CENTER, INC
Other names
Bellville Wellness Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
BROAD TOP AREA MEDICAL CENTER, INC
Authorized official
SHANI REED (DIRECTOR, PROVIDER ENROLLMENT)
(814) 506-8463
Entity
Organization
Contact information
Practice address
375 S KISHACOQUILLAS ST, BELLEVILLE, PA 17004-8620
(717) 935-2065
(717) 935-5560
Mailing address
4133 MEDICAL CENTER DR, BROAD TOP, PA 16621-9001
(814) 635-2916
(814) 635-2918
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
05/17/2021
Last updated
05/17/2021
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