Organization
EXCELA HEALTH PHYSICIAN PRACTICES, INC.
Active
Organization
EXCELA HEALTH PHYSICIAN PRACTICES, INC.
Active
Parent organization
EXCELA HEALTH HOLDING COMPANY
Other names
Excela Health QuikCare - Jeannette
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
600 JEFFERSON AVE, JEANNETTE, PA 15644-2539
(724) 527-9375
(724) 527-9380
Mailing address
134 INDUSTRIAL PARK RD STE 2300A, GREENSBURG, PA 15601-7328
(724) 689-1810
(724) 850-8096
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001562186
—
PA
Enumeration date
01/15/2010
Last updated
02/08/2010
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