Organization
EXCELA HEALTH PHYSICIAN PRACTICES, INC
Active
Parent organization
EXCELA HEALTH HOLDING COMPANY
Other names
Excela Square at Latrobe Primary Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
EXCELA HEALTH HOLDING COMPANY
Authorized official
RENEE M VARNEY (LEAD CREDENTIALING COORDINATOR)
(724) 850-6933
Entity
Organization
Contact information
Practice address
100 EXCELA HEALTH DRIVE, LATROBE, PA 15650
(724) 804-1725
(724) 804-1727
Mailing address
134 INDUSTRIAL PARK RD STE 1500, GREENSBURG, PA 15601-8153
(724) 850-6933
(724) 522-4002
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/07/2017
Last updated
02/11/2019
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