Provider Demographics
NPI:1598965519
Name:CHAMBERS FAMILY HEALTH
Entity Type:Organization
Organization Name:CHAMBERS FAMILY HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:JO
Authorized Official - Last Name:CHAMBERS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:814-849-5288
Mailing Address - Street 1:PO BOX 463
Mailing Address - Street 2:
Mailing Address - City:MARIENVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16239-0463
Mailing Address - Country:US
Mailing Address - Phone:814-927-5609
Mailing Address - Fax:814-927-5613
Practice Address - Street 1:125 CHESTNUT STREET
Practice Address - Street 2:
Practice Address - City:MARIENVILLE
Practice Address - State:PA
Practice Address - Zip Code:16239-0463
Practice Address - Country:US
Practice Address - Phone:814-927-5609
Practice Address - Fax:814-927-5613
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-18
Last Update Date:2008-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD065092L261QR1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
G71752Medicare UPIN
PA393891Medicare Oscar/Certification