Organization
INDIANA REGIONAL MEDICAL CENTER
Active
Organization
INDIANA REGIONAL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL F ICKOWSKI CPA, MBA (CHIEF FINANCIAL OFFICER)
(724) 357-7008
Entity
Organization
Contact information
Practice address
INDIANA AT CHESTNUT RIDGE, 25 COLONY BLVD, BLAIRSVILLE, PA 15717
(724) 357-7009
(724) 357-7414
Mailing address
PO BOX 788, 835 HOSPITAL ROAD, INDIANA, PA 15701-0788
(724) 357-7009
(724) 357-7414
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
090701
PA
261QU0200X
Urgent Care Clinic/Center
090701
PA
Other
Enumeration date
07/14/2009
Last updated
07/10/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up