Organization
HIGHLANDS HOSPITAL AND HEALTH CENTER
Active
Other names
HIGHLANDS HOSPITAL PHYSICIANS, Penn Highlands Connvellsville
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN S ANDURSKY (CEO)
(724) 628-1500
Entity
Organization
Contact information
Practice address
401 E MURPHY AVE, SUITE 201, CONNELLSVILLE, PA 15425
(724) 628-1500
(724) 626-2334
Mailing address
401 E MURPHY AVE, P.O. BOX 1004, CONNELLSVILLE, PA 15425
(724) 628-1500
(724) 626-2334
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
PA
103T00000X
Psychologist
—
—
207Q00000X
Family Medicine Physician
Primary
OS013321
PA
207V00000X
Obstetrics & Gynecology Physician
—
—
2084P0800X
Psychiatry Physician
—
—
208600000X
Surgery Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100776921
—
PA
01
—
1774039
HIGHMARK BC/BS GRP#
PA
01
—
CD5179
RAILROAD MEDICARE
PA
Enumeration date
08/20/2007
Last updated
10/20/2022
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