Organization
JEFFERSON REGIONAL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICK FRIES (VP FINANCE)
(412) 330-2472
Entity
Organization
Contact information
Practice address
565 COAL VALLEY RD, CLAIRTON, PA 15025-3703
(412) 469-5000
(412) 205-6472
Mailing address
565 COAL VALLEY RD, CLAIRTON, PA 15025-3703
(412) 205-6050
(412) 205-6472
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0968
HIGHMARK BLUE CROSS
PA
05
—
100744347052
—
PA
Enumeration date
03/14/2006
Last updated
05/11/2023
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