Excela Health Connellsville Family Practice-R. Conn, Md
LBN: Excela Health Physician Practices
Excela Health Connellsville Family Practice-R. Conn, Md is an health care organization with primary practice located at 2616 Memorial Blvd Suite B, Connellsville PA 15425-1418. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Excela Health Physician Practices can be contacted via phone (724) 628-9350, or through Sphon, John M via phone (724) 830-8500.
Contact Information
Primary practice address
2616 Memorial Blvd Suite B
Connellsville PA 15425-1418
Phone: (724) 628-9350
Fax: (724) 628-9353
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD427026 | Pennsylvania |
Profile Details
| NPI number | 1912924804 |
|---|---|
| LBN Legal business name | Excela Health Physician Practices |
| DBA Doing business as | Excela Health Connellsville Family Practice-R. Conn, Md |
| Authorized official | Sphon, John M |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jul 16th, 2006 |
| Last updated | Mar 13th, 2008 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912924804 | NPPES |
| Pennsylvania | MEDICAID | 0015621860064 |
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