Organization
ELK REGIONAL PROFESSIONAL GROUP, INC.
Active
Other names
ERPG Emergency Services
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE L SIMBECK (BUSINESS ADMINISTRATOR)
(814) 788-8580
Entity
Organization
Contact information
Practice address
763 JOHNSONBURG RD, ST MARYS, PA 15857-3417
(814) 788-8595
(814) 788-8036
Mailing address
763 JOHNSONBURG RD, ST MARYS, PA 15857-3417
(814) 788-8595
(814) 788-8036
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018592850036
—
PA
01
—
1313054
HIGHMARK ASSIGNMENT
PA
Enumeration date
10/03/2005
Last updated
09/03/2013
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