Organization
EXCELA HEALTH PHYSICIAN PRACTICES, INC.
Active
Parent organization
EXCELA HEALTH HOLDING COMPANY
Other names
Excela Health ENT
Organization subpart
Yes
Provider details
NPI number
Legal business name
EXCELA HEALTH HOLDING COMPANY
Authorized official
RENEE M VARNEY (CREDENTIALING COORDINATOR)
(724) 850-6933
Entity
Organization
Contact information
Practice address
522 W NEWTON ST STE 200, GREENSBURG, PA 15601-2820
(724) 834-8113
(724) 832-7496
Mailing address
134 INDUSTRIAL PARK RD STE 1500, GREENSBURG, PA 15601-8153
(724) 850-6933
(724) 522-4002
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
231H00000X
Audiologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001562186
—
PA
Enumeration date
09/24/2012
Last updated
02/11/2019
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