# ELK REGIONAL HEALTH CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Med Express
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487874640
- **Authorized official:** JAMIE L YOUNT (ADMINISTRATOR)
- **Authorized official phone:** (814) 788-8615

## Contact information

- **Practice address:** 104 METOXET STREET, RIDGWAY, PA 15853
- **Practice address phone:** (814) 788-5555
- **Practice address fax:** (814) 788-5655
- **Mailing address:** 763 JOHNSONBURG ROAD, ERHC MED EXPRESS, ST. MARYS, PA 15857
- **Mailing address phone:** (814) 788-8580
- **Mailing address fax:** (814) 788-8042

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 04/27/2007
- **Last updated:** 09/03/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1007292600030 | — | PA |