COUNTY OF CAMBRIA
Skilled Nursing Facility
Ebensburg, Pennsylvania
Provider NPI: 1669476313
Organization Information:Organization Name: COUNTY OF CAMBRIA
Practice Location:
429 MANOR DR EBENSBURG, PA 15931 US
Tel: 814-472-8100 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
429 MANOR DR EBENSBURG, PA 15931 US
Tel: 814-472-8100 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | PA | 030202 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
1007415500015 | PA | 05 | |
HIGHMARK BLUE CROSS | 0687 | PA | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin