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Organization
HIGHLANDS HOSPITAL AND HEALTH CENTER
Active
Organization
HIGHLANDS HOSPITAL AND HEALTH CENTER
Active
Other names
HIGHLANDS HOSPITAL PHYSICIANS, Penn Highlands Connvellsville
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN S ANDURSKY (CEO)
(724) 628-1500
Entity
Organization
Contact information
Practice address
401 E MURPHY AVE, SUITE 201, CONNELLSVILLE, PA 15425
(724) 628-1500
(724) 626-2334
Mailing address
401 E MURPHY AVE, P.O. BOX 1004, CONNELLSVILLE, PA 15425
(724) 628-1500
(724) 626-2334
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
PA
103T00000X
Psychologist
—
NULL
103T00000X
Psychologist
—
—
207Q00000X
Family Medicine Physician
Primary
OS013321
PA
207V00000X
Obstetrics & Gynecology Physician
—
NULL
207V00000X
Obstetrics & Gynecology Physician
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100776921
—
PA
01
—
1774039
HIGHMARK BC/BS GRP#
PA
01
—
CD5179
RAILROAD MEDICARE
PA
Enumeration date
08/20/2007
Last updated
10/20/2022
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