EAST LIBERTY FAMILY HEALTH CARE CENTER INC. NPI 1669709655

NPI Information

EAST LIBERTY FAMILY HEALTH CARE CENTER, INC. is a federally qualified health center (fqhc) clinic center in Pittsburgh, PA. EAST LIBERTY FAMILY HEALTH CARE CENTER, INC. NPI is 1669709655. The provider is registered as an organization entity type.
The provider Other Name Is East Liberty Family Health Care Center.

The provider's business location address is:

807 WALLACE AVE
PITTSBURGH, PA
ZIP 15221-312
Phone: (412) 345-7730
Fax: (412) 242-0602

The provider's authorized official is Rodney Jones .
The authorized official title is Ceo and has the following contact phone number (412) 362-6353.

The enumeration date for this NPI number is 11/11/2009 and was last updated on 5/26/2015.

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:

Other Identifiers

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

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