Organization
EXCELA HEALTH PHYSICIAN PRACTICES, INC.
Active
Parent organization
EXCELA HEALTH HOLDING COMPANY
Other names
Excela Health Med Group Family Medicine - Latrobe
Organization subpart
Yes
Provider details
NPI number
Legal business name
EXCELA HEALTH HOLDING COMPANY
Authorized official
MELISSA L. DISHONG (VICE PRESIDENT/EXECUTIVE DIRECTOR)
(724) 830-8500
Entity
Organization
Contact information
Practice address
1 MELLON WAY, LATROBE, PA 15650-1197
(724) 537-1435
(724) 537-1437
Mailing address
134 INDUSTRIAL PARK RD, STE 2300A, GREENSBURG, PA 15601-7328
(724) 689-1835
(724) 850-8096
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001562186
—
PA
Enumeration date
11/08/2013
Last updated
11/08/2013
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