# INDIANA REGIONAL MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** INDIANA REGIONAL MEDICAL CENTER
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1598386013
- **Legal business name:** INDIANA REGIONAL MEDICAL CENTER
- **Authorized official:** MR. MICHAEL F ICKOWSKI CPA, MBA (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (724) 357-7008

## Contact information

- **Practice address:** 835 HOSPITAL RD, INDIANA, PA 15701-3629
- **Practice address phone:** (724) 357-7009
- **Mailing address:** PO BOX 788, INDIANA, PA 15701-0788

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 05/06/2020
- **Last updated:** 07/10/2024