Organization
INDIANA REGIONAL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL F ICKOWSKI CPA, MBA (CHIEF FINANCIAL OFFICER)
(724) 357-7008
Entity
Organization
Contact information
Practice address
835 HOSPITAL RD, URGICARE AT IRMC, INDIANA, PA 15701-3629
(724) 357-7493
(724) 357-6961
Mailing address
PO BOX 788, 835 HOSPITAL ROAD, INDIANA, PA 15701-0788
(724) 357-7493
(724) 357-6961
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
090701
PA
261QU0200X
Urgent Care Clinic/Center
090701
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007713530001
—
PA
Enumeration date
08/16/2012
Last updated
07/10/2024
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