Organization
EXCELA HEALTH PHYSICIAN PRACTICES, INC.
Active
Parent organization
EXCELA HEALTH PHYSICIAN PRACTICES, INC.
Other names
Excela Health Behavioral Health Services-Latrobe
Organization subpart
Yes
Provider details
NPI number
Legal business name
EXCELA HEALTH PHYSICIAN PRACTICES, INC.
Authorized official
JOHN M. SPHON (VICE PRESIDENT)
(724) 830-8500
Entity
Organization
Contact information
Practice address
1 MELLON WAY, LATROBE, PA 15650-1197
(724) 537-1650
(724) 532-6047
Mailing address
134 INDUSTRIAL PARK RD STE 2300A, GREENSBURG, PA 15601-7328
(724) 689-1810
(724) 850-8096
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1387774
HIGHMARK - MANAGED CARE
—
Enumeration date
07/31/2006
Last updated
03/11/2008
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