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Organization
INDIANA REGIONAL MEDICAL CENTER - CRNA-IASA
Active
Organization
INDIANA REGIONAL MEDICAL CENTER - CRNA-IASA
Active
Parent organization
INDIANA REGIONAL MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
INDIANA REGIONAL MEDICAL CENTER
Authorized official
MR. MICHAEL F ICKOWSKI CPA, MBA (CHIEF FINANCIAL OFFICER)
(724) 357-7008
Entity
Organization
Contact information
Practice address
841 HOSPITAL RD, INDIANA, PA 15701-3620
(724) 465-1922
Mailing address
1699 WASHINGTON RD, SUITE 307, PITTSBURGH, PA 15228-1629
(412) 831-3744
(412) 831-5663
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NULL
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
01/10/2011
Last updated
07/10/2024
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