Organization
EXCELA HEALTH CHESTNUT RIDGE LLC
Active
Parent organization
EXCELA HEALTH PHYSICIAN PRACTICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
EXCELA HEALTH PHYSICIAN PRACTICES
Authorized official
MR. JOHN M. SPHON (VICE PRESIDENT)
(724) 830-8500
Entity
Organization
Contact information
Practice address
555 ROUTE 217, LATROBE, PA 15650-3484
(724) 694-2723
(724) 694-0383
Mailing address
532 W PITTSBURGH ST, GREENSBURG, PA 15601-2239
(724) 830-8500
(724) 850-8096
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/05/2008
Last updated
02/05/2008
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