Organization
EXCELA HEALTH PHYSICIAN PRACTICES, INC.
Active
Parent organization
EXCELA HEALTH HOLDING COMPANY
Other names
Excela Health Herminie Family Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
EXCELA HEALTH HOLDING COMPANY
Authorized official
KIRK L MILLER (VP, PHYS SERV & EXEC DIR, EHPP)
(724) 830-8500
Entity
Organization
Contact information
Practice address
401 CHURCH ST, HERMINIE, PA 15637-1457
(724) 446-5571
(724) 446-2151
Mailing address
134 INDUSTRIAL PARK RD, SUITE 2300A, GREENSBURG, PA 15601-7328
(724) 689-1810
(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
11/14/2011
Last updated
11/14/2011
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