| Indiana Regional Medical Center | |
|
Indiana At Chestnut Ridge 25 Colony Blvd Blairsville PA 15717 | |
| (724) 357-7009 | |
| (724) 357-7414 |
| Full Name | Indiana Regional Medical Center |
|---|---|
| Speciality | Internal Medicine |
| Location | Indiana At Chestnut Ridge, Blairsville, Pennsylvania |
| Authorized Official Name and Position | Robert A Gongaware (SR VICE PRESIDENT FOR FINANCE) |
| Authorized Official Contact | 7243577008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Indiana Regional Medical Center Po Box 788 835 Hospital Road Indiana PA 15701-0788 Ph: (724) 357-7009 | Indiana Regional Medical Center Indiana At Chestnut Ridge 25 Colony Blvd Blairsville PA 15717 Ph: (724) 357-7009 |
| NPI Number | 1104055946 |
|---|---|
| Provider Enumeration Date | 07/14/2009 |
| Last Update Date | 11/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104055946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 090701 (Pennsylvania) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | 090701 (Pennsylvania) | Secondary |
Blairsville Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 56 Club Ln, Ste 102, Blairsville, PA 15717 Phone: 724-459-5203 Fax: 724-459-0949 | |
Indiana Care Network Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 25 Colony Blvd, Blairsville, PA 15717 Phone: 724-388-3814 | |
Klain, Heasley, Nettleton Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 25 Colony Blvd Ste 102, Blairsville, PA 15717 Phone: 724-459-9111 Fax: 724-459-7856 | |
Excela Health Physician Practices, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 56 Club Ln Ste 203, Blairsville, PA 15717 Phone: 724-459-7338 Fax: 724-459-0206 |