Organization
WINDBER HOSPITAL INC
Active
Other names
Windber Physician Group
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA LAROSSE CPC (BUSINESS MANAGER)
(814) 535-7576
Entity
Organization
Contact information
Practice address
600 SOMERSET AVE, WINDBER, PA 15963-1331
(814) 467-4750
(814) 467-4751
Mailing address
321 MAIN ST, SUITE 3G, JOHNSTOWN, PA 15901-1632
(814) 535-7576
(814) 536-1369
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1457336042
KIM R MARLEY MD
—
01
—
1568692549
NATHANIEL SANN CRNP
—
01
—
1760595755
TAESUN MOON, DO
PA
Enumeration date
11/09/2010
Last updated
05/13/2015
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