Organization
UPMC BEDFORD MEMORIAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER WINN (CEO)
(814) 623-1104
Entity
Organization
Contact information
Practice address
10455 LINCOLN HWY, EVERETT, PA 15537-7046
(814) 623-6161
(814) 623-3535
Mailing address
10455 LINCOLN HWY, EVERETT, PA 15537-7046
(814) 623-6161
(814) 623-3535
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
650501
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007460470004
—
PA
Enumeration date
01/08/2007
Last updated
08/22/2020
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