Organization
ELK REGIONAL HEALTH CENTER
Active
Parent organization
ELK REGIONAL HEALTH CENTER
Other names
Penn Highlands Elk Anesthesia Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
ELK REGIONAL HEALTH CENTER
Authorized official
BRADLEY JOSEPH CHAPMAN (PRES/AUTH OFFICIAL)
(814) 788-8550
Entity
Organization
Contact information
Practice address
763 JOHNSONBURG RD, SAINT MARYS, PA 15857-3417
(800) 446-5090
(814) 339-6165
Mailing address
763 JOHNSONBURG RD, SAINT MARYS, PA 15857-3417
(814) 375-4200
(814) 375-4232
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100729260
—
PA
01
—
419584
MC PTAN
PA
Enumeration date
05/26/2015
Last updated
06/10/2019
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