Organization
TITUSVILLE AREA HEALTH SERVICES, INC.
Active
Parent organization
TITUSVILLE AREA HEALTH SERVICES, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
TITUSVILLE AREA HEALTH SERVICES, INC.
Authorized official
JILL A NEELY CFO (CFO)
(814) 827-1852
Entity
Organization
Contact information
Practice address
406 W OAK ST, TITUSVILLE, PA 16354-1404
(814) 827-9770
(814) 827-3556
Mailing address
335 W OAK ST, TITUSVILLE, PA 16354-1416
(814) 827-1852
(814) 827-8419
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD440393
PA
208600000X
Surgery Physician
Primary
—
—
208800000X
Urology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007717100006
—
PA
05
—
1007717100020
—
PA
05
—
1007717100023
—
PA
01
—
CG6962
RAILROAD MEDICARE
PA
Enumeration date
08/05/2006
Last updated
11/20/2019
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