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Organization

MEDICARE HEALTH INSURANCE

Active
Parent organization
NO
Organization subpart
Yes

Provider details

NPI number
Legal business name
NO
Authorized official
MR. CHESTER WILLIS SHAFFER II HENERY FOLB (DOCTOR)
(724) 942-6480
Entity
Organization

Contact information

Practice address
20 5TH ST, CLAYSVILLE, PA 15323-1272
(724) 663-4251
Mailing address
20 5TH ST, CLAYSVILLE, PA 15323-1272
(724) 663-4251

Taxonomy

Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
22926710
PA

Other

Enumeration date
09/21/2007
Last updated
09/21/2007
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