Organization
EXCELA HEALTH PHYSICIAN PRACTICES, INC.
Active
Parent organization
EXCELA HEALTH HOLDING COMPANY
Other names
Excela Health Palliative Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
EXCELA HEALTH HOLDING COMPANY
Authorized official
MELISSA L. DISHONG (VICE PRESIDENT/EXECUTIVE DIRECTOR)
(724) 830-8500
Entity
Organization
Contact information
Practice address
532 W PITTSBURGH ST, GREENSBURG, PA 15601-2239
(724) 832-4649
Mailing address
134 INDUSTRIAL PARK RD, STE 2300A, GREENSBURG, PA 15601-7328
(724) 689-1810
(724) 850-8096
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001562186
—
PA
Enumeration date
10/17/2014
Last updated
10/17/2014
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