Organization
INDIANA REGIONAL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL F ICKOWSKI CPA, MBA (CHIEF FINANCIAL OFFICER)
(724) 357-7008
Entity
Organization
Contact information
Practice address
145 IRMC DR, INDIANA, PA 15701-3673
(724) 357-7404
(724) 357-7414
Mailing address
835 HOSPITAL RD, PO BOX 788, INDIANA, PA 15701-3629
(724) 357-7008
(724) 357-7414
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001354
HIGHMARK
PA
05
—
1007713530013
—
PA
Enumeration date
08/24/2005
Last updated
04/16/2025
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