Organization
STO-ROX NEIGHBORHOOD HEALTH COUNCIL, INC.
Active
Other names
Sto-Rox Family Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
GAIL LAGER (CFO)
(412) 771-6462
Entity
Organization
Contact information
Practice address
710 THOMPSON AVENUE, MCKEES ROCKS, PA 15136-3808
(412) 771-6462
(412) 771-5887
Mailing address
710 THOMPSON AVENUE, MCKEES ROCKS, PA 15136-3808
(412) 771-6462
(412) 771-5887
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005200920002
—
PA
05
—
0008953110001
—
PA
05
—
0009781380002
—
PA
05
—
0012090200003
—
PA
05
—
1102090200002
—
PA
Enumeration date
04/11/2007
Last updated
07/30/2008
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