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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, INDIANA, PA 15701-3629
(724) 357-7009
(724) 723-1516
Mailing address
835 HOSPITAL RD, PO BOX 788, INDIANA, PA 15701-3629
(724) 357-7009
(724) 723-1516

Taxonomy

Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
090701
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1007708
GATEWAY
PA
05
1007713530001
PA
05
1007713530026
PA
01
888200
HIGHMARK
PA
Enumeration date
08/24/2005
Last updated
01/26/2026
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