# INDIANA REGIONAL MEDICAL CENTER

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

## Provider details

- **NPI number:** 1306973144
- **Authorized official:** MR. MICHAEL F ICKOWSKI CPA, MBA (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (724) 357-7009

## Contact information

- **Practice address:** 835 HOSPITAL ROAD, PHARMACY DEPARTMENT, INDIANA, PA 15701-0788
- **Practice address phone:** (724) 357-7085
- **Practice address fax:** (724) 357-7207
- **Mailing address:** PO BOX 788, 835 HOSPITAL ROAD, INDIANA, PA 15701-0788
- **Mailing address phone:** (724) 357-7000
- **Mailing address fax:** (724) 357-7414

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NR1301X | Rural Acute Care Hospital | 090701 | PA | Yes |

## Other

- **Enumeration date:** 02/28/2007
- **Last updated:** 07/10/2024