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Organization
PUNXSUTAWNEY AREA HOSPITAL INC
Active
Organization
PUNXSUTAWNEY AREA HOSPITAL INC
Active
Other names
PUNXSUTAWNEY AREA HOSPITAL INC OUTPATIENT PROGRAM
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK SISK (CFO)
(814) 938-1882
Entity
Organization
Contact information
Practice address
81 HILLCREST DR, PUNXSUTAWNEY, PA 15767-2605
(814) 938-1800
(814) 938-1855
Mailing address
81 HILLCREST DR, PUNXSUTAWNEY, PA 15767-2605
(814) 938-1800
(814) 938-1855
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
941360
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
081893
HIGHMARK MEDICARE SERVICE
—
05
—
1007712640030
—
PA
01
—
1377
HIGHMARK BLUE CROSS
PA
Enumeration date
10/27/2006
Last updated
04/12/2013
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