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Organization
WINDBER HOSPITAL, INC.
Active
Organization
WINDBER HOSPITAL, INC.
Active
Other names
Chan Soon-Shiong Medical Center at Windber
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW BOUCH (DIRECTOR OF PATIENT ACCOUNTING)
(814) 467-3195
Entity
Organization
Contact information
Practice address
600 SOMERSET AVE, WINDBER, PA 15963-1331
(814) 467-3000
(814) 467-3407
Mailing address
600 SOMERSET AVE, WINDBER, PA 15963-1331
(814) 467-3000
(814) 467-3407
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
234901
PA
2085R0202X
Diagnostic Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007703740004
—
PA
01
—
4480909
HIGHMARK BLUE SHIELD
PA
Enumeration date
05/09/2007
Last updated
10/30/2020
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