Indiana Regional Medical Center

NPI #1104055946 in Blairsville, Pennsylvania

Provider Information

NPI Number: 1104055946
Entity Type: Organization
Organization Name: Indiana Regional Medical Center
Primary Specialty: Internal Medicine
Enumeration Date: Jul 14, 2009
Last Updated: Jul 10, 2024

Practice Location

Address: INDIANA AT CHESTNUT RIDGE
Address 2: 25 COLONY BLVD
City: Blairsville
State: Pennsylvania
ZIP Code: 15717
Phone: (724) 357-7009

Authorized Official

Name: MR. MICHAEL F ICKOWSKI, CPA, MBA
Title: CHIEF FINANCIAL OFFICER
Phone: (724) 357-7008

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Urgent Care — Urgent Care	261QU0200X
Internal Medicine	207R00000X	Primary

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