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Organization

EXCELA HEALTH PHYSICIAN PRACTICES, INC.

Active
Parent organization
EXCELA HEALTH HOLDING COMPANY
Other names
Excela Health Youngwood Internal Medicine
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
505 N 4TH ST, YOUNGWOOD, PA 15697-1558
(724) 925-1211
(724) 925-2931
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

Other identifiers
Code
Description
Identifier
Issuer
State
01
535978
MEDICARE GRP. NO.
Enumeration date
10/05/2006
Last updated
02/11/2019
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