Provider Demographics
NPI:1679567200
Name:US COMPLETE CARE
Entity Type:Organization
Organization Name:US COMPLETE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:XAVIER
Authorized Official - Last Name:STRAUB
Authorized Official - Suffix:III
Authorized Official - Credentials:RPH
Authorized Official - Phone:814-781-3192
Mailing Address - Street 1:10 RAILROAD ST
Mailing Address - Street 2:
Mailing Address - City:ST MARYS
Mailing Address - State:PA
Mailing Address - Zip Code:15857-1729
Mailing Address - Country:US
Mailing Address - Phone:814-781-3192
Mailing Address - Fax:814-781-3192
Practice Address - Street 1:10 RAILROAD ST
Practice Address - Street 2:
Practice Address - City:ST MARYS
Practice Address - State:PA
Practice Address - Zip Code:15857-1729
Practice Address - Country:US
Practice Address - Phone:814-781-3192
Practice Address - Fax:814-781-3192
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP414576L333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1288865Medicaid