Organization
ELK REGIONAL HEALTH CENTER
Active
Parent organization
ELK REGIONAL HEALTH CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
ELK REGIONAL HEALTH CENTER
Authorized official
MRS. LAURIE MACDONALD (CHEIF FINANCIAL OFFICER)
(814) 788-8743
Entity
Organization
Contact information
Practice address
763 JOHNSONBURG RD, ST MARYS, PA 15857
(814) 788-8000
(814) 788-8234
Mailing address
763 JOHNSONBURG RD, ST MARYS, PA 15857-3417
(814) 788-8000
(814) 788-8234
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
010901
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39M315
MEDICARE PTAN
PA
Enumeration date
06/27/2005
Last updated
08/22/2018
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