| Indiana Regional Medical Center | |
| 
					1265 Wayne Ave Bldg Suite201 Center For Wound Healing Indiana PA 15701-3501  | |
| (724) 357-7008 | |
| (724) 357-7414 | 
| Full Name | Indiana Regional Medical Center | 
|---|---|
| Speciality | General Acute Care Hospital - Rural | 
| Location | 1265 Wayne Ave Bldg Suite201, Indiana, Pennsylvania | 
| Authorized Official Name and Position | Michael F Ickowski (CHIEF FINANCIAL OFFICER) | 
| 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) 357-7008  | Indiana Regional Medical Center 1265 Wayne Ave Bldg Suite201 Center For Wound Healing Indiana PA 15701-3501 Ph: (724) 357-7008  | 
| NPI Number | 1508047630 | 
|---|---|
| Provider Enumeration Date | 11/16/2007 | 
| Last Update Date | 07/10/2024 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1508047630 | NPI | - | NPPES | 
| 1007713530032 | Medicaid | PA | |
| 000068 | Other | PA | HIGHMARK | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary | 
| 282NR1301X | General Acute Care Hospital - Rural | 090701 (Pennsylvania) | Primary | 
Pediatric Care Center P C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1265 Wayne Ave Ste 309, Indiana, PA 15701 Phone: 724-349-1310 Fax: 724-397-2420  | |
Ashok Chaddah Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 841 Hospital Road, Suite 3500, Indiana, PA 15701 Phone: 724-349-8636 Fax: 724-465-4087  | |
Rose Medical Asssociates Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15 South 8th Street, Suite 201, Indiana, PA 15701 Phone: 724-349-8311 Fax: 724-349-8311  | |
Indiana Regional Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 835 Hospital Rd, Indiana, PA 15701 Phone: 724-357-7008 Fax: 724-357-7414  | |
Jeffrey D Martens Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1177 South 6th Street, Suite B, Indiana, PA 15701 Phone: 724-349-6540 Fax: 724-349-8207  | |
Indiana Regional Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 841 Hospital Rd, Indiana, PA 15701 Phone: 724-427-2797 Fax: 724-427-2715  | |
Indiana Healthcare Physician Services, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 640 Kolter Dr, Indiana, PA 15701 Phone: 724-357-7196 Fax: 724-357-7279  |