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GLADE RUN MEDICAL ASSOCIATES NPI 1659693133


NPI Information

NPI: 1659693133
Provider Name: GLADE RUN MEDICAL ASSOCIATES

Other Name: ABC WOMEN'S CARE

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 39D2082584

Address:
200 MEDICAL ARTS BLDG STE 230
KITTANNING, PA
ZIP 16201
Phone: (724) 543-8784
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GLADE RUN MEDICAL ASSOCIATES is an obstetrics gynecology in Kittanning, PA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. GLADE RUN MEDICAL ASSOCIATES NPI is 1659693133. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Abc Women's Care.

The provider's business location address is:

200 MEDICAL ARTS BLDG STE 230
KITTANNING, PA
ZIP 16201-132
Phone: (724) 543-8784
Fax: (724) 543-8764

The provider's authorized official is Patrick Burns .
The authorized official title is Cfo and has the following contact phone number (724) 543-8618.

The CLIA number assigned to this NPI record is 39D2082584 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/24/2010 and was last updated on 4/20/2023.


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
1207V00000XObstetrics & GynecologyYes

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
11024592620010MEDICAIDPENNSYLVANIA

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: 5/5/2024

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