INDIANA REGIONAL MEDICAL CENTER NPI 1508047630

NPI Information

  • NPI: 1508047630
  • Provider Name: INDIANA REGIONAL MEDICAL CENTER
  • Classification: General Acute Care Hospital - 282NR1301X
  • Specialization: Rural
  • Entity Type: Organization
  • Address: 1265 WAYNE AVE BLDG SUITE201
    CENTER FOR WOUND HEALING
    INDIANA, PA
    ZIP 15701
  • Phone: (724) 357-7008

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NPI Details

INDIANA REGIONAL MEDICAL CENTER is a rural general acute care hospital in Indiana, PA. INDIANA REGIONAL MEDICAL CENTER NPI is 1508047630. The provider is registered as an organization entity type.

The provider's business location address is:

1265 WAYNE AVE BLDG SUITE201
CENTER FOR WOUND HEALING
INDIANA, PA
ZIP 15701-501
Phone: (724) 357-7008
Fax: (724) 357-7414

The provider's authorized official is Michael F Ickowski .
The authorized official title is Chief Financial Officer and has the following contact phone number (724) 357-7008.

The enumeration date for this NPI number is 11/16/2007 and was last updated on 7/10/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterNo
2282NR1301XGeneral Acute Care HospitalRural090701PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11007713530032MEDICAIDPENNSYLVANIA
2000068OTHERPENNSYLVANIAHIGHMARK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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