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Organization

JEFFERSON REGIONAL MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RICK FRIES (VP FINANCE)
(412) 330-2472
Entity
Organization

Contact information

Practice address
565 COAL VALLEY RD, CLAIRTON, PA 15025-3703
(412) 469-5919
(412) 267-6472
Mailing address
565 COAL VALLEY RD, CLAIRTON, PA 15025-3703
(412) 469-5919
(412) 267-6472

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0085
BC WESTERN PA HOSPITAL
PA
05
1007443470018
PA
Enumeration date
07/06/2005
Last updated
07/28/2021
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