Provider Demographics
NPI:1750803409
Name:WESBURY UNITED METHODIST COMMUNITY
Entity type:Organization
Organization Name:WESBURY UNITED METHODIST COMMUNITY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:PALMIERO
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:814-332-9529
Mailing Address - Street 1:900 WATER ST STE 19
Mailing Address - Street 2:
Mailing Address - City:MEADVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16335-3428
Mailing Address - Country:US
Mailing Address - Phone:814-332-9705
Mailing Address - Fax:814-332-9723
Practice Address - Street 1:900 WATER ST STE 19
Practice Address - Street 2:
Practice Address - City:MEADVILLE
Practice Address - State:PA
Practice Address - Zip Code:16335-3428
Practice Address - Country:US
Practice Address - Phone:814-332-9705
Practice Address - Fax:814-332-9723
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WESBURY UNITED METHODIST COMMUNITY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-07-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA04140501251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health