Provider Demographics
NPI:1568527406
Name:NORTHERN CAMBRIA MEDICAL CENTER INC.
Entity Type:Organization
Organization Name:NORTHERN CAMBRIA MEDICAL CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:J
Authorized Official - Last Name:PARONISH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:814-948-4560
Mailing Address - Street 1:PO BOX 776
Mailing Address - Street 2:
Mailing Address - City:NORTHERN CAMBRIA
Mailing Address - State:PA
Mailing Address - Zip Code:15714-0776
Mailing Address - Country:US
Mailing Address - Phone:814-948-4560
Mailing Address - Fax:814-948-8436
Practice Address - Street 1:1106 BIGLER AVE
Practice Address - Street 2:
Practice Address - City:NORTHERN CAMBRIA
Practice Address - State:PA
Practice Address - Zip Code:15714-0776
Practice Address - Country:US
Practice Address - Phone:814-948-4560
Practice Address - Fax:814-948-8436
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-22
Last Update Date:2011-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD029402E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007554300007Medicaid
PA171717OtherFEDERAL BLACK LUNG
PADH0535Medicare PIN
PAB41979Medicare UPIN
PA121252Medicare PIN