Organization Name: | FAMILY CARE CENTERS, INC. |
NPI Number: | 1174907364 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL WILK (VP/CFO) |
Mailing Address: | 120 Burrus Blvd Brodheadsville |
State: | PA US |
Postal Code: | 183227812 |
Phone Number: | 5704249970 |
Fax Number: | 5704242899 |
NPI Enumeration Date: | 07/17/2015 |
NPI Last Update Date: | 07/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RC0000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Cardiovascular Disease |
Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |