Organization
TITUSVILLE AREA HOSPITAL
Active
Other names
SPU
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL A MATTIS (VP FINANCE CFO)
(814) 827-1852
Entity
Organization
Contact information
Practice address
406 W OAK ST, TITUSVILLE, PA 16354-1404
(814) 827-1851
(814) 827-3099
Mailing address
406 W OAK ST, TITUSVILLE, PA 16354-1404
(814) 827-1851
(814) 827-3099
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
200901
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100746065-0019
—
PA
Enumeration date
01/09/2007
Last updated
08/22/2020
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