Organization
BROOKVILLE HOSPITAL
Active
Parent organization
PENN HIGHLANDS HEALTHCARE
Other names
Penn Highlands Brookville Cardiology EKG, BROOKVILLE CARDIOLOGY EKG PF
Organization subpart
Yes
Provider details
NPI number
Legal business name
PENN HIGHLANDS HEALTHCARE
Authorized official
MRS. TANYA L MCCANDLESS (SENIOR BILLER)
(814) 849-1842
Entity
Organization
Contact information
Practice address
100 HOSPITAL RD, BROOKVILLE, PA 15825
(814) 849-1842
Mailing address
100 HOSPITAL RD, BROOKVILLE, PA 15825-1367
(814) 849-1842
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
246W00000X
Cardiology Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007733760004
—
PA
01
—
170134
MC PTAN
—
Enumeration date
03/26/2009
Last updated
08/16/2018
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