Mead Avenue Family Practice, Inc. in Corry - Family Medicine

Mead Avenue Family Practice, Inc. - NPI 1124156765

Mead Avenue Family Practice, Inc. is a Family Medicine in Corry, Pennsylvania. Mead Avenue Family Practice, Inc. practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Mead Avenue Family Practice, Inc. is 1124156765. The last update date is 2007-08-22.

Mead Avenue Family Practice, Inc.'s current location address is 1086 Mead Ave, Corry, Pennsylvania. You can contact this provider via phone number 8146644542 and fax number 8146644556. The mailing address for Mead Avenue Family Practice, Inc. is 1086 Mead Ave, Corry, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Organization Mead Avenue Family Practice, Inc.
Address 1086 Mead Ave, Corry, Pennsylvania
Phone Number 8146644542
Fax Number 8146644556
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Lund E Kurt
Credentials M.D.
Telephone Number 8146644542

NPI Number Detail

NPI Number 1124156765
Provider Enumeration Date 2007-03-02
Last Updated Date 2007-08-22

Provider Mailing Address Detail

Address 1086 Mead Ave
City Corry
State Pennsylvania (PA)
Post Code 164078503
Phone Number 8146644542
Fax Number 8146644556

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No MD050434L
Definition:
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 i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1019472820001 PA --
DF6619 PA RAILROAD

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FAQs about Mead Avenue Family Practice, Inc.

What is the unique identifier code issued to Mead Avenue Family Practice, Inc. by the Centers for Medicare & Medicaid Services (CMS)?

The Mead Avenue Family Practice, Inc. has been assigned the NPI (National Provider Identifier) 1124156765. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Mead Avenue Family Practice, Inc.'s facilities are situated?

The facilities of Mead Avenue Family Practice, Inc. are physically located at the following address: 1086 Mead Ave, Corry, PA, 164078503.

What is Mead Avenue Family Practice, Inc.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Mead Avenue Family Practice, Inc. is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.

On what date did Mead Avenue Family Practice, Inc. receive its 1124156765 assignment from the Centers for Medicare & Medicaid Services?

The Mead Avenue Family Practice, Inc. was assigned its 1124156765 on 2007-03-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Mead Avenue Family Practice, Inc. most recently updated or revised?

The information pertaining to Mead Avenue Family Practice, Inc., including its address, specialty, and other relevant details, was last updated or revised on 2007-08-22.

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