Provider Demographics
NPI:1033178793
Name:HEALTH SERVICES OF CLARION, INC.
Entity Type:Organization
Organization Name:HEALTH SERVICES OF CLARION, INC.
Other - Org Name:MARIANNE FAMILY PRACTICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CONNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BEICHNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-226-3470
Mailing Address - Street 1:121 DOCTORS LANE
Mailing Address - Street 2:
Mailing Address - City:CLARION
Mailing Address - State:PA
Mailing Address - Zip Code:16214
Mailing Address - Country:US
Mailing Address - Phone:814-226-3470
Mailing Address - Fax:814-226-3479
Practice Address - Street 1:21159 PAINT BLVD
Practice Address - Street 2:SUITE 2
Practice Address - City:SHIPPENVILLE
Practice Address - State:PA
Practice Address - Zip Code:16254-4023
Practice Address - Country:US
Practice Address - Phone:814-226-6770
Practice Address - Fax:814-226-1015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1004721OtherGATEWAY
PA1549224OtherBLUE SHIELD