Indiana Regional Medical Center

LBN: Indiana Regional Medical Center
Indiana Regional Medical Center is an health care organization with primary practice located at Indiana At Chestnut Ridge 25 Colony Blvd, Blairsville PA 15717. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Ambulatory Health Care Facilities / Urgent Care. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Indiana Regional Medical Center can be contacted via phone (724) 357-7009, or through Ickowski, Michael F via phone (724) 357-7008.

Contact Information

Primary practice address
Indiana At Chestnut Ridge 25 Colony Blvd Blairsville PA 15717
Phone: (724) 357-7009
Fax: (724) 357-7414
Website:
Map and Directions
Authorized official contact:
Name: Ickowski, Michael F CPA, MBA
Phone: (724) 357-7008

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 090701 Pennsylvania
Ambulatory Health Care Facilities / Urgent Care 261QU0200X 090701 Pennsylvania

Profile Details

NPI number 1104055946
LBN Legal business name Indiana Regional Medical Center
DBA Doing business as
Authorized official Ickowski, Michael F CPA, MBA
Entity Organization
Organization subpart 1 No
Enumeration date Jul 14th, 2009
Last updated Jul 10th, 2024 - about last year

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.

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