CONNEAUT VALLEY HEALTH CENTER INC. (NPI# 1366588774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366588774 |
| Entity Type | Organization |
| Organization Name | CONNEAUT VALLEY HEALTH CENTER INC. |
| Other Organization Name | MEADVILLE COMMUNITY HEALTH CENTER |
| Practice Address |
747 Terrace St Meadville PA 16335-1737 |
| Mailing Address |
1034 Grove St Meadville PA 16335-2945 |
| Practice Telephone | 8143732976 |
| Practice Fax Number | 8143337071 |
| Mailing Telephone | 8143732976 |
| Mailing Fax Number | 8143337071 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2016-02-29 |
| Authorized Official Name | MR. MICHAEL C DOWNING (CFO) |
| Authorized Official Telephone | 8143732449 |
| Authorized Official Credential | FACHE, CMPE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | RAILROAD MEDICARE | CE7746 | 01 |
| PA | 0007230030015 | 05 |
| Other Name | Type Code |
|---|---|
| Meadville Community Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427133248 | Conneaut Valley Health Center Inc. | Clinic/Center | 10926 Highway 18, Conneaut Lake, PA 16316-3526 | 2006-10-27 |
| 1396994885 | Conneaut Valley Health Center Inc. | Social Worker | 747 Terrace St, Meadville, PA 16335-1737 | 2008-09-09 |
| 1134265549 | Conneaut Valley Health Center Inc. | Clinic/Center | 118 Railroad St, Cambridge Springs, PA 16403-1060 | 2007-01-30 |
| 1558380469 | Conneaut Valley Health Center Inc. | Family Medicine | 906 Washington St, Conneautville, PA 16406 | 2006-07-19 |
| Street Address |
747 TERRACE ST |
| City | MEADVILLE |
| State | PA |
| Zip Code | 16335-1737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871004036 | Elizabeth Susan Mccurdy | Physician Assistant | 747 Terrace St, Meadville, PA 16335-1737 | 2017-10-16 |
| 1669839957 | Courtney Mcgovern | Nurse Practitioner | 747 Terrace St, Meadville, PA 16335-1737 | 2016-01-19 |
| 1528436045 | Lori Ann Harrison | Nurse Practitioner | 747 Terrace St, Meadville, PA 16335-1737 | 2015-09-15 |
| 1689042442 | Kimberley Ruth Smith | Nurse Practitioner | 747 Terrace St, Meadville, PA 16335-1737 | 2015-09-10 |
| 1760873707 | Meadville Medical Center | Podiatrist | 747 Terrace St, Podiatry, Meadville, PA 16335-1737 | 2015-02-12 |
| 1972994283 | Meadville Medical Center | Psychiatry & Neurology | 747 Terrace St, B.h., Meadville, PA 16335-1737 | 2015-02-09 |
| 1558609065 | James Lawrence Eppelbaum | Family Medicine | 747 Terrace St, Meadville, PA 16335-1737 | 2013-01-18 |
| 1396994885 | Conneaut Valley Health Center Inc. | Social Worker | 747 Terrace St, Meadville, PA 16335-1737 | 2008-09-09 |
| 1609077213 | Family Planning of Crawford County | Public Health or Welfare | 747 Terrace St, Meadville, PA 16335-1737 | 2007-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811533508 | Stacey Lynette Lantz | Physical Therapy Assistant | 11277 Vernon Place Road, Meadville, PA 16335 | 2019-11-18 |
| 1952874794 | Amy Lynn Weaver | Social Worker | Parkside Psychological Associates, 435 Chestnut Street, Meadville, PA 16335 | 2019-01-04 |
| 1013437789 | Raymond Walter Keller Jr. | Family Medicine | 735 Liberty St, Meadville, PA 16335 | 2017-06-23 |
| 1750735742 | Nicole Fies | Counselor | 201 Chestnut Street, Floor 2, Meadville, PA 16335 | 2016-04-16 |
| 1760894422 | Amie S Coffman | Psychiatry & Neurology | 765 Liberty St Ste 303, Meadville, PA 16335 | 2014-05-28 |
| 1649609710 | Gina Marie Michalak | Pharmacist | 379 North Street, Meadville, PA 16335 | 2013-11-08 |
| 1518396704 | Cassandra Lynn Ketler | Physician Assistant | 847 North Main Street, Meadville, PA 16335 | 2013-11-07 |
| 1194159913 | Judy Mcelwain | Speech-Language Pathologist | 31 N Park Ave, Meadville, PA 16335 | 2013-08-28 |
| 1649604463 | Jonelle Elizabeth Taylor | Occupational Therapist | 31 North Park Ave, Meadville, PA 16335 | 2013-08-28 |
| 1699046961 | James Richard Mclamb | Orthopaedic Surgery | 6060 Ehrgott Rd, Meadville, PA 16335 | 2012-01-19 |
| Find all providers in zip 16335 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| 1730570573 | Meadville Medical Center | Clinic/Center | 640 Alden St, Meadville, PA 16335-2348 | 2015-02-16 |
| 1285995944 | General John J Pershing Memorial Hospital Association | Clinic/Center | 101 E Hayward St, Meadville, MO 64659-9201 | 2012-05-30 |
| 1023140811 | Franklin County Memorial Hospital | Clinic/Center | 595 Main St E, Meadville, MS 39653-9233 | 2007-03-09 |
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| 1922429133 | Tyrone Hospital | Clinic/Center | 221 Hospital Dr Ste 6, Tyrone, PA 16686-1826 | 2013-12-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.