Organization
ELK REGIONAL HEALTH CENTER
Active
Parent organization
PENN HIGHLANDS HEALTHCARE
Other names
PENN HIGHLANDS EYE CENTER, PENN HIGHLANDS ELK
Organization subpart
Yes
Provider details
NPI number
Legal business name
PENN HIGHLANDS HEALTHCARE
Authorized official
LAURIE JANE MACDONALD (AUTH OFFICIAL/CFO)
(814) 788-8743
Entity
Organization
Contact information
Practice address
765 JOHNSONBURG RD, SAINT MARYS, PA 15857-3417
(814) 781-3435
(814) 781-7866
Mailing address
763 JOHNSONBURG RD, SAINT MARYS, PA 15857-3417
(814) 375-4200
(814) 375-4232
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100729260
—
PA
Enumeration date
09/21/2022
Last updated
09/21/2022
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