| Excela Health Physician Practices, Inc. | |
|
905 Spruce St Irwin PA 15642-3683 | |
| (724) 864-9595 | |
| (724) 864-9860 |
| Full Name | Excela Health Physician Practices, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 905 Spruce St, Irwin, Pennsylvania |
| Authorized Official Name and Position | Kirk L Miller (VP, PHYS SERV & EXEC DIR, EHPP, INC) |
| Authorized Official Contact | 7248308500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Excela Health Physician Practices, Inc. 134 Industrial Park Rd Ste 2300a Greensburg PA 15601-7328 Ph: (724) 689-1810 | Excela Health Physician Practices, Inc. 905 Spruce St Irwin PA 15642-3683 Ph: (724) 864-9595 |
| NPI Number | 1972878551 |
|---|---|
| Provider Enumeration Date | 03/15/2012 |
| Last Update Date | 03/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972878551 | NPI | - | NPPES |
| 001562186 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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