Provider Demographics
NPI:1932168978
Name:HEALTH SERVICES OF CLARION, INC.
Entity Type:Organization
Organization Name:HEALTH SERVICES OF CLARION, INC.
Other - Org Name:UROLOGY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CONNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BEICHNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-226-3470
Mailing Address - Street 1:121 DOCTORS LANE
Mailing Address - Street 2:
Mailing Address - City:CLARION
Mailing Address - State:PA
Mailing Address - Zip Code:16214
Mailing Address - Country:US
Mailing Address - Phone:814-226-3470
Mailing Address - Fax:814-226-3479
Practice Address - Street 1:24 DOCTORS LN
Practice Address - Street 2:SUITE 301
Practice Address - City:CLARION
Practice Address - State:PA
Practice Address - Zip Code:16214-8568
Practice Address - Country:US
Practice Address - Phone:814-227-2900
Practice Address - Fax:814-227-2224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD053586L208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1547598OtherGATEWAY
PA1780033OtherBLUE SHIELD