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
835 HOSPITAL ROAD, PET SCAN, INDIANA, PA 15701-0788
(724) 357-7008
Mailing address
835 HOSPITAL ROAD, PO BOX 788, INDIANA, PA 15701-0788
(724) 357-7008
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
090701
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00068
HIGHMARK
PA
05
—
1007713530001
—
PA
Enumeration date
10/05/2006
Last updated
07/10/2024
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