Provider Demographics
NPI:1922217066
Name:WALK-IN MEDICAL CARE OFFICE, INC.
Entity Type:Organization
Organization Name:WALK-IN MEDICAL CARE OFFICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL PHYSICIAN & SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:HARRY
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:FEGLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:724-349-8660
Mailing Address - Street 1:2125 OAKLAND AVE
Mailing Address - Street 2:ROOM 20
Mailing Address - City:INDIANA
Mailing Address - State:PA
Mailing Address - Zip Code:15701-3397
Mailing Address - Country:US
Mailing Address - Phone:724-349-8660
Mailing Address - Fax:
Practice Address - Street 1:2125 OAKLAND AVE
Practice Address - Street 2:ROOM 20
Practice Address - City:INDIANA
Practice Address - State:PA
Practice Address - Zip Code:15701-3397
Practice Address - Country:US
Practice Address - Phone:724-349-8660
Practice Address - Fax:724-349-8661
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2009-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD430457261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA9715061Medicaid
PA1956499OtherHIGHMARK
MAC25087OtherBLUE CROSS BLUE SHIELD
MAM15210Medicare ID - Type Unspecified