Organization
JEFFERSON REGIONAL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALBERT JOSEPH RAGAN (TREASURER)
(412) 267-6095
Entity
Organization
Contact information
Practice address
565 COAL VALLEY RD, CLAIRTON, PA 15025-3703
(412) 267-6050
(412) 267-6472
Mailing address
565 COAL VALLEY RD, CLAIRTON, PA 15025-3703
(412) 267-6050
(412) 267-6472
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
711801
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0085
HIGHMARK
PA
05
—
1007443470018
—
PA
Enumeration date
06/21/2006
Last updated
07/05/2012
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