Organization
EXCELA HEALTH PHYSICIAN PRACTICES, INC.
Active
Parent organization
EXCELA HEALTH HOLDING COMPANY
Other names
Excela Square Frick Primary Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
EXCELA HEALTH HOLDING COMPANY
Authorized official
RENEE M VARNEY (LEAD CREDENTIALING COORDINATOR)
(724) 850-6933
Entity
Organization
Contact information
Practice address
508 S CHURCH ST STE 100, MT PLEASANT, PA 15666-1702
(724) 423-4051
(724) 522-4002
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
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/28/2018
Last updated
01/17/2019
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