Organization
EXCELA HEALTH PHYSICIAN PRACTICES, INC.
Active
Parent organization
EXCELA HEALTH HOLDING COMPANY
Other names
EH Sports Med/Concussion Mgmt
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
410 PELLIS RD, SUITE 2A, GREENSBURG, PA 15601-4700
(724) 689-1070
(724) 689-1063
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
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015621860077
—
PA
Enumeration date
07/23/2008
Last updated
05/07/2020
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