Organization
EAST LIBERTY FAMILY HEALTH CARE CENTER, INC.
Active
Organization
EAST LIBERTY FAMILY HEALTH CARE CENTER, INC.
Active
Other names
East Liberty Family Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RODNEY JONES SR. (CEO)
(412) 362-6353
Entity
Organization
Contact information
Practice address
807 WALLACE AVE, PITTSBURGH, PA 15221-2312
(412) 345-7730
(412) 242-0602
Mailing address
6023 HARVARD SQ, PITTSBURGH, PA 15206-3053
(412) 361-8284
(412) 361-8268
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007524920015
—
PA
Enumeration date
11/11/2009
Last updated
05/26/2015
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