Bedford Wellness Center LLC
Organization Active NPI Family Medicine Physician · Bedford, PA
NPI 1649788134 · NPPES record last updated Jan 18, 2018
Key facts
- NPI
- 1649788134
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- OS009365-L (PA)
- Legal business name
- BEDFORD WELLNESS CENTER LLC
- Practice address
- 342 S Richard St
Bedford, PA 15522-1743 - Phone
- (814) 623-8414
- Fax
- (814) 623-6668
- NPI assigned
- Jan 18, 2018
- Organization subpart
- No
Authorized official
- Name
- Tracy L Layton
- Title
- Biller
- Phone
- (814) 310-5001
Practitioners 1
-
Ruth Diane Jones, D.O.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | OS009365-L | PA | Yes |
Addresses
Primary practice location
342 S Richard St
Bedford, PA 15522-1743
Mailing address
342 S Richard St
Bedford, PA 15522-1743
Phone (814) 623-8414
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0018649730001 | Medicaid | PA |
Other names
- Bedford Wellness Center
Other providers in Bedford, PA
- Bedford Family Wellness LLC
- Bedford Medical Center
- Bedford Regional Foot & Ankle Care, LLC
- Bedford SNF Healthcare LLC
- Bedford Somerset Developmental and Behavioral Health Services
- Bedford-Somerset Developmental and Behavioral Health Services
- Bedford-Somerset Developmental and Behavioral Health Services
- Bedford-Somerset Developmental and Behavioral Health Services
- Bedford-Somerset Developmental and Behavioral Health Services
- Bedford-Somerset Developmental and Behavioral Health Services
All providers in Bedford, PA · Family Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.