PORT ALLEGANY HEALTH CENTER OF CCMH (NPI# 1629191358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629191358 |
| Entity Type | Organization |
| Organization Name | PORT ALLEGANY HEALTH CENTER OF CCMH |
| Practice Address |
45 N Pine St Port Allegany PA 16743-1238 |
| Practice Telephone | 8146427205 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DAVID ACKER (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 8142745216 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1000011270072 | 05 |
| Street Address |
45 N PINE ST |
| City | PORT ALLEGANY |
| State | PA |
| Zip Code | 16743-1238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194746958 | Marlene Wust-smith | Pediatrics | 45 N Pine St, Port Allegany, PA 16743-1238 | 2006-07-21 |
| 1538629498 | Mabroor A Khan | Dentist | 45 N Pine St, Port Allegany, PA 16743-1238 | 2019-03-25 |
| 1609361179 | Debra Ann Losey | Physician Assistant | 45 N Pine St, Port Allegany, PA 16743 | 2018-06-27 |
| 1851805162 | Alisha Bachman | Dental Hygienist | 45 N Pine St, Port Allegany, PA 16743-1238 | 2017-11-22 |
| 1740723253 | Robert Sterling | Physician Assistant | 45 N Pine St, Port Allegany, PA 16743-1238 | 2016-12-01 |
| 1871906768 | Rebecca Nick | Physician Assistant | 45 N Pine St, Port Allegany, PA 16743-1238 | 2014-06-09 |
| 1992019236 | Charles Cole Memorial Hospital | Chiropractor | 45 N Pine St, Port Allegany, PA 16743-1238 | 2010-07-28 |
| 1346498110 | Charles Cole Memorial Hospital D/b/a Upmc Cole | Podiatrist | 45 N Pine St, Port Allegany, PA 16743-1238 | 2008-09-04 |
| 1346410305 | Becky Seefeldt | Nurse Practitioner | 45 N Pine St, Port Allegany, PA 16743-1238 | 2008-03-06 |
| 1619017126 | Julie Baker | Physician Assistant | 45 N Pine St, Port Allegany, PA 16743-1238 | 2007-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801083720 | Alcohol and Drug Abuse Services, Inc. | Case Management | 118 Chestnut Street, Port Allegany, PA 16743 | 2007-09-25 |
| 1891910535 | Nathan P Carlson | Dentist | 37 Pearl St, Port Allegany, PA 16743 | 2007-04-16 |
| 1831209675 | Richard A Kunkel | Dentist | 316 E Arnold Ave, Port Allegany, PA 16743 | 2006-08-30 |
| 1134150733 | Jennifer A Morrison | Social Worker | 10 Church St., Port Allegany, PA 16743 | 2006-07-05 |
| 1952341646 | Jason Tronetti | Family Medicine | 45 Pine Street, Port Allegany, PA 16743 | 2006-06-08 |
| 1720203466 | Philip L Carlson Jr. | Dentist | 37 Pearl St, Port Allegany, PA 16743 | 2007-04-16 |
| 1689899353 | Mark P Carlson | Dentist | 37 Pearl St, Port Allegany, PA 16743 | 2007-04-16 |
| 1679614507 | Newtko Inc | Durable Medical Equipment & Medical Supplies | 54 - 56 Main Street, Port Allegany, PA 16743-0000 | 2007-02-12 |
| 1184849093 | Alcohol & Drug Abuse Services, Inc | Substance Abuse Rehabilitation Facility | 12 Church St Ste 100, Port Allegany, PA 16743-1116 | 2007-04-16 |
| 1104856483 | Daniel F Kysor | Psychologist | 10 Church St, Port Allegany, PA 16743-1116 | 2006-07-03 |
| Find all providers in zip 16743 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104990514 | Charles Cole Memorial Hosptial | Clinic/Center | 45 N Pine St, Port Allegany, PA 16743-1238 | 2006-11-17 |
| 1760554265 | Charles Cole Memorial Hospital | Clinic/Center | 45 N Pine St, Port Allegany, PA 16743-1238 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487266029 | Upmc Kane | Clinic/Center | 511 South Main Street, Sheffield, PA 16347 | 2020-08-17 |
| 1174176796 | Cornerstone Coordinated Health Care, LLC | Clinic/Center | 2114 Centre St, Ashland, PA 17921-1015 | 2019-07-23 |
| 1053873976 | Titusville Area Hospital | Clinic/Center | 10926 State Highway 18, Conneaut Lake, PA 16316-3526 | 2019-04-01 |
| 1760954721 | The Carbon-schuylkill Community Hospital, Inc. | Clinic/Center | 100 W Patterson St, Suite 201, Lansford, PA 18232 | 2018-12-31 |
| 1548761935 | The Carbon-schuylkill Community Hospital, Inc. | Clinic/Center | 411 S Shenandoah Rd, Ringtown, PA 17967-9432 | 2018-02-22 |
| 1790191948 | Dlp Conemaugh Physician Practices LLC | Clinic/Center | 1609 W. Pitt St., Jennerstown, PA 15547 | 2014-07-09 |
| 1922429133 | Tyrone Hospital | Clinic/Center | 221 Hospital Dr Ste 6, Tyrone, PA 16686-1826 | 2013-12-16 |
| 1124456157 | Tyrone Hospital | Clinic/Center | 125 Spring Street, Houtzdale, PA 16651 | 2013-10-30 |
| 1831466937 | Conemaugh Health Initiatives | Clinic/Center | 1611 W. Pitt Street, Jennerstown, PA 15547-0190 | 2011-11-18 |
| 1245419639 | Pinnacle Health Partners Inc. | Clinic/Center | Hc 1 Box 2170, Tafton, PA 18464-9714 | 2007-11-01 |
| Find all providers with the same taxonomy | ||||
| City | PORT ALLEGANY |
| Zip Code | 16743 |
Please comment or provide details below to improve the information on PORT ALLEGANY HEALTH CENTER OF CCMH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.