Organization
PUNXSUTAWNEY AREA HOSPITAL INC
Active
Other names
PUNXSUTAWNEY AREA HOSPITAL INC OUTPATIENT PROGRAM
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK SISK (CFO)
(814) 938-1882
Entity
Organization
Contact information
Practice address
81 HILLCREST DR, PUNXSUTAWNEY, PA 15767-2605
(814) 938-1800
(814) 938-1855
Mailing address
81 HILLCREST DR, PUNXSUTAWNEY, PA 15767-2605
(814) 938-1800
(814) 938-1855
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
941360
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
081893
HIGHMARK MEDICARE SERVICE
—
05
—
1007712640030
—
PA
01
—
1377
HIGHMARK BLUE CROSS
PA
Enumeration date
10/27/2006
Last updated
04/12/2013
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