Provider Demographics
NPI:1316291222
Name:PRIMARY CARE ASSOCIATES OF WESTERN PA.
Entity type:Organization
Organization Name:PRIMARY CARE ASSOCIATES OF WESTERN PA.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:SNEERINGER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:814-849-3035
Mailing Address - Street 1:477 ROUTE 28
Mailing Address - Street 2:
Mailing Address - City:BROOKVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15825-7159
Mailing Address - Country:US
Mailing Address - Phone:814-849-3035
Mailing Address - Fax:814-849-4341
Practice Address - Street 1:477 ROUTE 28
Practice Address - Street 2:
Practice Address - City:BROOKVILLE
Practice Address - State:PA
Practice Address - Zip Code:15825-7159
Practice Address - Country:US
Practice Address - Phone:814-849-3035
Practice Address - Fax:814-849-4341
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-30
Last Update Date:2012-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA055852261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care