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Organization

MILLCREEK COMMUNITY HOSPITAL

Active
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Organization

MILLCREEK COMMUNITY HOSPITAL

Active
Parent organization
MILLCREEK COMMUNITY HOSPITAL
Other names
LECOM Health Waterford Family Practice
Organization subpart
Yes

Provider details

NPI number
Legal business name
MILLCREEK COMMUNITY HOSPITAL
Authorized official
JEAN NEJMAN (CREDENTIALING SPECIALIST)
(814) 868-2507
Entity
Organization

Contact information

Practice address
220 E 3RD ST, WATERFORD, PA 16441-9753
(814) 796-6791
(814) 796-6517
Mailing address
5515 PEACH ST, ERIE, PA 16509-2603
(814) 864-4031
(814) 868-7778

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
213E00000X
Podiatrist
—
—
363A00000X
Physician Assistant
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—

Other

Enumeration date
06/13/2025
Last updated
06/13/2025
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