EXTENDED CARE MEDICAL ASSOCIATES LLC NPI 1548292147

NPI Information

NPI: 1548292147
Provider Name: EXTENDED CARE MEDICAL ASSOCIATES LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
5824 LONGVIEW CIR
BRIDGEVILLE, PA
ZIP 15017
Phone: (724) 375-3100
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EXTENDED CARE MEDICAL ASSOCIATES LLC is a family medicine in Bridgeville, PA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. EXTENDED CARE MEDICAL ASSOCIATES LLC NPI is 1548292147. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5824 LONGVIEW CIR
BRIDGEVILLE, PA
ZIP 15017-277
Phone: (724) 375-3100
Fax: (724) 375-5858

The provider's authorized official is Michael Speca .
The authorized official title is Business Manager and has the following contact phone number (724) 375-3100.

The enumeration date for this NPI number is 7/6/2006 and was last updated on 9/12/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1608513	OTHER	PENNSYLVANIA	BLUE SHIELD
2	3567805	OTHER		AETNA
3	081043	MEDICARE PIN	PENNSYLVANIA
4	DC3444	MEDICARE PIN
5	V0416B	OTHER	PENNSYLVANIA	UPMC
6	1010424740001	MEDICAID	PENNSYLVANIA
7	2712425	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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