Organization
EXCELA HEALTH PHYSICIAN PRACTICES, INC.
Active
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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