Organization
ELK REGIONAL HEALTH CENTER, INC.
Active
Other names
Med Express
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE L YOUNT (ADMINISTRATOR)
(814) 788-8615
Entity
Organization
Contact information
Practice address
104 METOXET STREET, RIDGWAY, PA 15853
(814) 788-5555
(814) 788-5655
Mailing address
763 JOHNSONBURG ROAD, ERHC MED EXPRESS, ST. MARYS, PA 15857
(814) 788-8580
(814) 788-8042
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007292600030
—
PA
Enumeration date
04/27/2007
Last updated
09/03/2013
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