Organization
COMMONWEALTH MEDICAL CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIE L FELTS JR. (CAO)
(724) 857-1711
Entity
Organization
Contact information
Practice address
2500 HOSPITAL DR, ALIQUIPPA, PA 15001-2123
(724) 857-1212
(724) 857-1298
Mailing address
2500 HOSPITAL DR, ALIQUIPPA, PA 15001-2123
(724) 857-1212
(724) 857-1298
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
012601
PA
207P00000X
Emergency Medicine Physician
Primary
012601
PA
2084P0800X
Psychiatry Physician
012601
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021242510001
—
PA
Enumeration date
03/28/2008
Last updated
10/30/2008
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