Organization
EXCELA HEALTH PHYSICIAN PRACTICES, INC.
Active
Parent organization
EXCELA HEALTH HOLDING COMPANY
Other names
Excela Health Neurosurgery
Organization subpart
Yes
Provider details
NPI number
Legal business name
EXCELA HEALTH HOLDING COMPANY
Authorized official
TIMOTHY E LOCH (VICE PRESIDENT/EXECUTIVE DIRECTOR)
(724) 830-8500
Entity
Organization
Contact information
Practice address
100 EXCELA HEALTH DR STE 203B, LATROBE, PA 15650-9001
(724) 532-0866
(724) 532-0869
Mailing address
134 INDUSTRIAL PARK RD STE 1500, GREENSBURG, PA 15601-8153
(724) 850-6933
(724) 522-4002
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001562186
—
PA
Enumeration date
01/05/2015
Last updated
07/12/2019
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