Dr Mary A Walters in Forty Fort - Clinic/center
Dr Mary A Walters - NPI 1124296314
Dr Mary A Walters is a Clinic/center in Forty Fort, Pennsylvania. Dr Mary A Walters practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Dr Mary A Walters is 1124296314. The last update date is 2008-02-11.
Dr Mary A Walters's current location address is 1174 Wyoming Ave, Forty Fort, Pennsylvania. You can contact this provider via phone number 5702889444 and fax number 5703317543. The mailing address for Dr Mary A Walters is 1174 Wyoming Ave, Forty Fort, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dr Mary A Walters |
|---|---|
| Address | 1174 Wyoming Ave, Forty Fort, Pennsylvania |
| Phone Number | 5702889444 |
| Fax Number | 5703317543 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Walters A Mary |
| Credentials | DC |
| Telephone Number | 5702889444 |
NPI Number Detail
| NPI Number | 1124296314 |
|---|---|
| Provider Enumeration Date | 2008-02-11 |
| Last Updated Date | 2008-02-11 |
Provider Mailing Address Detail
| Address | 1174 Wyoming Ave |
|---|---|
| City | Forty Fort |
| State | Pennsylvania (PA) |
| Post Code | 187044016 |
| Phone Number | 5702889444 |
| Fax Number | 5703317543 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
|
Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 72962 | PA | FIRST PRIORITY HEALTH | |
| 1659387678 | PA | INDV NPI TYPE 1 | |
| WA181952 | PA | MEDICARE | |
| 181952 | PA | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique identifier code issued to Dr Mary A Walters by the Centers for Medicare & Medicaid Services (CMS)?
The Dr Mary A Walters has been assigned the NPI (National Provider Identifier) 1124296314. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Dr Mary A Walters's physical address?
The Dr Mary A Walters is physically located at 1174 Wyoming Ave, in the city of Forty Fort, PA, with the postal code 187044016.
What is the Dr Mary A Walters's specialty and taxonomy code?
The Dr Mary A Walters's specialty is Clinic/center, and the corresponding taxonomy code is 261Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1124296314 to Dr Mary A Walters?
The Dr Mary A Walters received its 1124296314 assignment from the Centers for Medicare & Medicaid Services on 2008-02-11.
As of what date was the information regarding Dr Mary A Walters, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Dr Mary A Walters, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-02-11.
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