Organization
ESSENT HEALTHCARE - WAYNESBURG LLC
Active
Other names
Southwest Regional Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN L. PAGE (VICE PRESIDENT)
(615) 844-9849
Entity
Organization
Contact information
Practice address
350 BONAR AVE, WAYNESBURG, PA 15370-1608
(724) 627-2645
Mailing address
350 BONAR AVE, WAYNESBURG, PA 15370-1608
(724) 627-2645
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
852101
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101552558001
—
PA
Enumeration date
01/24/2007
Last updated
12/12/2013
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