# HIGHLANDS HOSPITAL AND HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HIGHLANDS HOSPITAL PHYSICIANS, Penn Highlands Connvellsville
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447443957
- **Authorized official:** MR. JOHN S ANDURSKY (CEO)
- **Authorized official phone:** (724) 628-1500

## Contact information

- **Practice address:** 401 E MURPHY AVE, SUITE 201, CONNELLSVILLE, PA 15425
- **Practice address phone:** (724) 628-1500
- **Practice address fax:** (724) 626-2334
- **Mailing address:** 401 E MURPHY AVE, P.O. BOX 1004, CONNELLSVILLE, PA 15425
- **Mailing address phone:** (724) 628-1500
- **Mailing address fax:** (724) 626-2334

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | — | PA | — |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 207Q00000X | Family Medicine Physician | OS013321 | PA | Yes |
| 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

- **Enumeration date:** 08/20/2007
- **Last updated:** 10/20/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100776921 | — | PA |
| 01 | — | 1774039 | HIGHMARK BC/BS GRP\# | PA |
| 01 | — | CD5179 | RAILROAD MEDICARE | PA |