Provider Demographics
NPI:1174019939
Name:UMAS COMPLETE FAMILY CARE
Entity Type:Organization
Organization Name:UMAS COMPLETE FAMILY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIESHEIMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-315-2233
Mailing Address - Street 1:427 PARK PL
Mailing Address - Street 2:
Mailing Address - City:WINDBER
Mailing Address - State:PA
Mailing Address - Zip Code:15963-1718
Mailing Address - Country:US
Mailing Address - Phone:814-315-2233
Mailing Address - Fax:814-509-6332
Practice Address - Street 1:427 PARK PL
Practice Address - Street 2:
Practice Address - City:WINDBER
Practice Address - State:PA
Practice Address - Zip Code:15963-1718
Practice Address - Country:US
Practice Address - Phone:814-315-2233
Practice Address - Fax:814-509-6332
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-05
Last Update Date:2018-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty