# MILLCREEK COMMUNITY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MILLCREEK COMMUNITY HOSPITAL
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1578198941
- **Legal business name:** MILLCREEK COMMUNITY HOSPITAL
- **Authorized official:** RICHARD LUSK (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (814) 868-7760

## Contact information

- **Practice address:** 2625 PARADE ST, ERIE, PA 16504-2809
- **Practice address phone:** (814) 452-6383
- **Practice address fax:** (814) 452-1427
- **Mailing address:** 5515 PEACH ST, ERIE, PA 16509-2603
- **Mailing address phone:** (814) 864-4031
- **Mailing address fax:** (814) 868-7770

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | — | NULL | — |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207VG0400X | Gynecology Physician | — | NULL | — |
| 207VG0400X | Gynecology Physician | — | — | — |
| 207W00000X | Ophthalmology Physician | — | NULL | — |
| 207W00000X | Ophthalmology Physician | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | — |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | — |

## Other

- **Enumeration date:** 03/06/2020
- **Last updated:** 04/26/2023