Organization
UPMC KANE
Active
Parent organization
UPMC HAMOT
Other names
Home Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
UPMC HAMOT
Authorized official
JOHN GARY RHODES (CEO)
(814) 837-8585
Entity
Organization
Contact information
Practice address
628 N FRALEY ST, SUITE 3, KANE, PA 16735-9040
(814) 837-5171
(814) 837-7432
Mailing address
4372 ROUTE 6, KANE, PA 16735-3060
(814) 837-8585
(814) 837-4348
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
763105
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007457740051
—
PA
01
—
1057
HIGHMARK HHC
PA
Enumeration date
11/16/2007
Last updated
05/12/2017
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