Excela Health Chestnut Ridge LLC
NPI #1396923009 in Latrobe, Pennsylvania
Provider Information
- NPI Number
- 1396923009
- Entity Type
- Organization
- Organization Name
- Excela Health Chestnut Ridge LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- EXCELA HEALTH PHYSICIAN PRACTICES
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Feb 5, 2008
- Last Updated
- Feb 5, 2008
Practice Location
- Address
- 555 ROUTE 217
- City
- Latrobe
- State
- Pennsylvania
- ZIP Code
- 15650-3484
- Phone
- (724) 694-2723
Authorized Official
- Name
- MR. JOHN M. SPHON
- Title
- VICE PRESIDENT
- Phone
- (724) 830-8500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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