Provider Demographics
NPI:1184682395
Name:NORTHWEST PHYSICIANS ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:NORTHWEST PHYSICIANS ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:W
Authorized Official - Last Name:ARMSTRONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-823-4510
Mailing Address - Street 1:1012 WATER ST
Mailing Address - Street 2:
Mailing Address - City:MEADVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16335-3444
Mailing Address - Country:US
Mailing Address - Phone:814-333-2001
Mailing Address - Fax:
Practice Address - Street 1:1012 WATER ST
Practice Address - Street 2:
Practice Address - City:MEADVILLE
Practice Address - State:PA
Practice Address - Zip Code:16335-3444
Practice Address - Country:US
Practice Address - Phone:814-333-2001
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-04
Last Update Date:2020-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA39D0904344291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA390003680OtherPALMETTO GBA-RAILROAD MEDICARE
PA1007778580053Medicaid
PACA4743OtherPALMETTO GBA-RAILROAD MEDICARE
PACA4743OtherPALMETTO GBA-RAILROAD MEDICARE
PA093554Medicare PIN