# CHICORA MEDICAL CENTER, LIMITED PARTNERSHIP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003809526
- **Authorized official:** STEVEN D TACK NHA (CEO)
- **Authorized official phone:** (724) 431-0770

## Contact information

- **Practice address:** 160 MEDICAL CENTER RD, CHICORA, PA 16025-2612
- **Practice address phone:** (724) 431-0770
- **Practice address fax:** (724) 431-0764
- **Mailing address:** 160 MEDICAL CENTER RD, CHICORA, PA 16025-2612
- **Mailing address phone:** (724) 431-0770
- **Mailing address fax:** (724) 431-0764

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 032402 | PA | Yes |

## Other

- **Enumeration date:** 08/30/2005
- **Last updated:** 08/14/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0017572850001 | — | PA |
| 01 | — | 0623 | HIGHMARK BC | — |
| 01 | — | 134924 | UNISON | PA |
| 01 | — | 1507529 | GATEWAY HP | PA |
| 01 | — | 211471 | UPMC | — |
| 01 | — | 263257 | HEALTH AMERICA | PA |
| 01 | — | 4356880001 | NHIC, CORP | MA |