Provider Demographics
NPI:1568127645
Name:ONLY ONE HUB
Entity Type:Organization
Organization Name:ONLY ONE HUB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:TIBBOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-242-3842
Mailing Address - Street 1:PO BOX 572
Mailing Address - Street 2:
Mailing Address - City:EBENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15931-0572
Mailing Address - Country:US
Mailing Address - Phone:814-242-3842
Mailing Address - Fax:
Practice Address - Street 1:100 W HIGH ST
Practice Address - Street 2:
Practice Address - City:EBENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15931-1539
Practice Address - Country:US
Practice Address - Phone:814-242-3842
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-03
Last Update Date:2021-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center