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Organization

MILLCREEK COMMUNITY HOSPITAL

Active
Parent organization
MILLCREEK COMMUNITY HOSPITAL
Organization subpart
Yes

Provider details

NPI number
Legal business name
MILLCREEK COMMUNITY HOSPITAL
Authorized official
RICHARD LUSK (CHIEF FINANCIAL OFFICER)
(814) 868-7760
Entity
Organization

Contact information

Practice address
4740 PEACH ST, ERIE, PA 16509-2008
(814) 454-3174
(814) 616-8002
Mailing address
5515 PEACH ST, ERIE, PA 16509-2603
(814) 864-4031
(814) 868-7770

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2084P0804X
Child & Adolescent Psychiatry Physician

Other

Enumeration date
03/04/2020
Last updated
04/26/2023
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