<Unavail>
LBN: Millcreek Manor
<Unavail> is an health care organization with primary practice located at 5535 Peach St , Erie PA 16509-2603. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Ambulatory Health Care Facilities / Clinic/Center, Suppliers / Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Millcreek Manor can be contacted via phone (814) 868-2496, or through Beerbower, Joshua A via phone (814) 488-4825.
Contact Information
Primary practice address
5535 Peach St
Erie PA 16509-2603
Phone: (814) 868-2496
Fax: (814) 868-2581
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | ||
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | ||
| Suppliers / Pharmacy | 333600000X |
Profile Details
| NPI number | 1588272884 |
|---|---|
| LBN Legal business name | Millcreek Manor |
| DBA Doing business as | <Unavail> |
| Authorized official | Beerbower, Joshua A |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jul 22nd, 2020 |
| Last updated | Jun 11th, 2025 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588272884 | NPPES |
| Pennsylvania | MEDICAID | 0012079290002 |
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