| Indiana Regional Medical Center | |
|
835 Hospital Rd Behavioral Health Services Indiana PA 15701-3629 | |
| (724) 357-7008 | |
| (724) 357-7414 |
| Full Name | Indiana Regional Medical Center |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 835 Hospital Rd, Indiana, Pennsylvania |
| Authorized Official Name and Position | Michael F Ickowski (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7243577008 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Indiana Regional Medical Center 835 Hospital Rd Po Box 788 Indiana PA 15701-3629 Ph: (724) 357-7008 | Indiana Regional Medical Center 835 Hospital Rd Behavioral Health Services Indiana PA 15701-3629 Ph: (724) 357-7008 |
| NPI Number | 1801889969 |
|---|---|
| Provider Enumeration Date | 08/24/2005 |
| Last Update Date | 07/10/2024 |
| Certification Date | 07/10/2024 |
| Medicare PECOS PAC ID | 6800791187 |
|---|---|
| Medicare Enrollment ID | O20081212000480 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801889969 | NPI | - | NPPES |
| 001354 | Other | PA | HIGHMARK |
| 1007713530013 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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