Organization
EXCELA HEALTH PHYSICIAN PRACTICES, INC.
Active
Parent organization
EXCELA HEALTH HOLDING COMPANY
Other names
Excela Health West Newton Family Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
EXCELA HEALTH HOLDING COMPANY
Authorized official
KIRK L. MILLER (VP, PHYS SERV & EXEC DIR, EHPP)
(724) 830-8500
Entity
Organization
Contact information
Practice address
115 S 2ND ST, WEST NEWTON, PA 15089-1357
(724) 872-5252
(724) 872-5501
Mailing address
115 S 2ND ST, WEST NEWTON, PA 15089-1357
(724) 872-5252
(724) 872-5501
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD041300L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015621860069
—
PA
Enumeration date
10/05/2006
Last updated
08/23/2011
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