Indiana Regional Medical Center

LBN: Indiana Regional Medical Center
Indiana Regional Medical Center is an health care organization with primary practice located at 835 Hospital Rd , Indiana PA 15701-3629. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Hospitals / Rural. Hospitals / Rural is the primary health care specialty. Indiana Regional Medical Center can be contacted via phone (724) 357-7008, or through Ickowski, Michael F via phone (724) 357-7008.

Contact Information

Primary practice address
835 Hospital Rd Indiana PA 15701-3629
Fax: (724) 357-7414
Website:
Authorized official contact:
Name: Ickowski, Michael F CPA, MBA

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 090701 Pennsylvania
Hospitals / Rural 282NR1301X 090701 Pennsylvania

Profile Details

NPI number 1356334510
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 Aug 23rd, 2005
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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Identifiers

StateTypeNumberIssuer
All States NPI 1356334510 NPPES
Pennsylvania Other 1005099 GATEWAY
Pennsylvania MEDICAID 1007713530001 GATEWAY
Pennsylvania Other 000068 GATEWAY
Pennsylvania MEDICAID 100771353 GATEWAY

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