Organization
PUNXSUTAWNEY AREA HOSPITAL INC
Active
Parent organization
PUNXSUTAWNEY AREA HOSPITAL INC
Other names
Punxsutawney Area Hospital Rural Health Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
PUNXSUTAWNEY AREA HOSPITAL INC
Authorized official
CHERYL L GRAHAM (DIRECTOR OF REIMBURSEMENT)
(814) 938-1886
Entity
Organization
Contact information
Practice address
81 HILLCREST DRIVE, STE 100, 200 AND 2200, PUNXSUTAWNEY, PA 15767-2605
(814) 938-7066
(814) 938-4509
Mailing address
81 HILLCREST DRIVE, SUITES 100, 200 AND 2200, PUNXSUTAWNEY, PA 15767-2605
(814) 938-7066
(814) 938-4509
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
208D00000X
General Practice Physician
—
—
261Q00000X
Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100771260072
—
PA
Enumeration date
11/02/2022
Last updated
10/18/2024
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