Organization
CHICORA MEDICAL CENTER, LIMITED PARTNERSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN D TACK NHA (CEO)
(724) 431-0770
Entity
Organization
Contact information
Practice address
160 MEDICAL CENTER RD, CHICORA, PA 16025-2612
(724) 431-0770
(724) 431-0764
Mailing address
160 MEDICAL CENTER RD, CHICORA, PA 16025-2612
(724) 431-0770
(724) 431-0764
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
032402
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017572850001
—
PA
01
—
0623
HIGHMARK BC
—
01
—
134924
UNISON
PA
01
—
1507529
GATEWAY HP
PA
01
—
211471
UPMC
—
01
—
263257
HEALTH AMERICA
PA
01
—
4356880001
NHIC, CORP
MA
Enumeration date
08/30/2005
Last updated
08/14/2014
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