Organization
ELK REGIONAL HEALTH CENTER
Active
Parent organization
PENN HIGHLANDS HEALTHCARE
Other names
Penn Highlands Elk Physician Svcs
Organization subpart
Yes
Provider details
NPI number
Legal business name
PENN HIGHLANDS HEALTHCARE
Authorized official
BRADLEY J CHAPMAN (PRESIDENT/AUTHORIZED OFFICIAL)
(814) 788-8550
Entity
Organization
Contact information
Practice address
416 N BROAD ST, EMPORIUM, PA 15834-1402
(814) 788-8000
Mailing address
763 JOHNSONBURG RD, SAINT MARYS, PA 15857-3417
(814) 375-4200
(814) 375-4232
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
207Q00000X
Family Medicine Physician
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
—
2084P0800X
Psychiatry Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
139645
PTAN
PA
Enumeration date
10/28/2008
Last updated
10/14/2020
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