INDIANA REGIONAL MEDICAL CENTER (NPI# 1306973144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306973144 |
| Entity Type | Organization |
| Organization Name | INDIANA REGIONAL MEDICAL CENTER |
| Practice Address |
835 Hospital Road Pharmacy Department Indiana PA 15701-0788 |
| Mailing Address |
Po Box 788 835 Hospital Road Indiana PA 15701-0788 |
| Practice Telephone | 7243577085 |
| Practice Fax Number | 7243577207 |
| Mailing Telephone | 7243577000 |
| Mailing Fax Number | 7243577414 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2010-11-04 |
| Authorized Official Name | MR. ROBERT A. GONGAWARE (SR. VICE PRESIDENT FOR FINANCE) |
| Authorized Official Telephone | 7243577009 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
090701 | PA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 100771353 0018 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104055946 | Indiana Regional Medical Center | Clinic/Center | Indiana At Chestnut Ridge, 25 Colony Blvd, Blairsville, PA 15717 | 2009-07-14 |
| 1508047630 | Indiana Regional Medical Center | Clinic/Center | 1265 Wayne Ave Bldg Suite201, Center for Wound Healing, Indiana, PA 15701-3501 | 2007-11-16 |
| 1356334510 | Indiana Regional Medical Center | Clinic/Center | 835 Hospital Rd, Indiana, PA 15701-3629 | 2005-08-23 |
| 1598386013 | Indiana Regional Medical Center | General Acute Care Hospital | 835 Hospital Rd, Indiana, PA 15701-3629 | 2020-05-06 |
| 1952766263 | Indiana Regional Medical Center | General Acute Care Hospital | 835 Hospital Rd, Indiana, PA 15701-3629 | 2015-12-31 |
| 1366790750 | Indiana Regional Medical Center | Clinic/Center | 835 Hospital Rd, Urgicare At Irmc, Indiana, PA 15701-3629 | 2012-08-16 |
| 1770614919 | Indiana Regional Medical Center | Clinic/Center | 835 Hospital Road, Pediatric & Adolescent Dental Clinic, Indiana, PA 15701-0788 | 2007-03-08 |
| 1942396163 | Indiana Regional Medical Center | General Acute Care Hospital | 835 Hospital Road, Pet Scan, Indiana, PA 15701-0788 | 2006-10-05 |
| 1659315372 | Indiana Regional Medical Center | Clinic/Center | 835 Hospital Rd, Short Procedure Unit, Indiana, PA 15701-0788 | 2006-06-15 |
| 1427041516 | Indiana Regional Medical Center | General Acute Care Hospital | 835 Hospital Rd, Emergency Department, Indiana, PA 15701-3629 | 2005-08-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | INDIANA REGIONAL MEDICAL CENTER | 835 Hospital Rd, Indiana, PA 15701-3629 |
| Street Address |
835 HOSPITAL ROAD PHARMACY DEPARTMENT |
| City | INDIANA |
| State | PA |
| Zip Code | 15701-0788 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457341711 | Ki Young Chung | Internal Medicine | 835 Hospital Road, Emergency Department, Indiana, PA 15701-0788 | 2005-10-26 |
| 1134557408 | Hanna Gratzmiller Blystone | Speech-Language Pathologist | 835 Hospital Road, Indiana, PA 15701 | 2013-10-24 |
| 1801147525 | Emily Rose Sherry | Physician Assistant | 835 Hospital Road, Operating Room, Indiana, PA 15701-0788 | 2012-09-20 |
| 1629394481 | Francisca Oyindamola Oyedeji | Radiology | 835 Hospital Road, Indiana, PA 15701 | 2010-04-19 |
| 1619138526 | Eric Joseph Snyder | Physician Assistant | 835 Hospital Road, Emergency Department, Indiana, PA 15701-0788 | 2008-06-23 |
| 1770614919 | Indiana Regional Medical Center | Clinic/Center | 835 Hospital Road, Pediatric & Adolescent Dental Clinic, Indiana, PA 15701-0788 | 2007-03-08 |
| 1942396163 | Indiana Regional Medical Center | General Acute Care Hospital | 835 Hospital Road, Pet Scan, Indiana, PA 15701-0788 | 2006-10-05 |
| 1114029139 | Steven L. Seever | Nurse Anesthetist, Certified Registered | 835 Hospital Road, Anesthesiology Department, Indiana, PA 15701-0788 | 2006-09-01 |
| 1528090172 | Patrick Robert Shannon | Emergency Medicine | 835 Hospital Road, Emergency Department, Indiana, PA 15701-0788 | 2006-07-06 |
| 1407884539 | Theresa M Fabert-kinneer | Dietitian, Registered | 835 Hospital Road, Dietitian, Indiana, PA 15701-0788 | 2006-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518508811 | Paula A. Smulik | Pharmacist | 280 Indian Springs Rd Ste 125, Indiana, PA 15701 | 2019-10-08 |
| 1588143713 | William Aden Bendgen IIi | Counselor | 470 N 4th Street, Indiana, PA 15701 | 2018-08-08 |
| 1699266452 | Shiela Ikasilon Otwane | Nurse Practitioner | 1 Regency Square, 1524 Oakland Avenue, Indiana, PA 15701 | 2018-05-28 |
| 1881184745 | Samantha Nichcol Bennett | Social Worker | 793 Old Rte 119 Hwy U, Indiana, PA 15701 | 2018-05-16 |
| 1780193896 | Abbey Mae Hill | Counselor | 793 Old Rotue 119 Hwy N, Indiana, PA 15701 | 2017-09-21 |
| 1568819456 | Karissa Wess Angleson | Physician Assistant | Indiana Regional Medical Center Emergency Department, 835 Hospital Rd, Indiana, PA 15701 | 2016-05-20 |
| 1588020721 | Forefront Dermatology, S.c. | Dermatology | 120 I.r.m.c. Drive, Suite 130, Indiana, PA 15701 | 2016-01-04 |
| 1881069201 | Amanda J Orvosh | Counselor | 1163 Water St, Indiana, PA 15701 | 2015-12-10 |
| 1245602887 | Susan Marie Marchezak | Nurse Practitioner | 2128 Oakland Avenue, Indiana, PA 15701 | 2015-10-22 |
| 1538546353 | Hillary Beth Stitt | Counselor | 793 Old Rt 119 Hwy N, Community Guidance Center, Indiana, PA 15701 | 2015-04-30 |
| Find all providers in zip 15701 | ||||
| Taxonomy Code | 282NR1301X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Rural |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952766263 | Indiana Regional Medical Center | General Acute Care Hospital | 835 Hospital Rd, Indiana, PA 15701-3629 | 2015-12-31 |
| 1942396163 | Indiana Regional Medical Center | General Acute Care Hospital | 835 Hospital Road, Pet Scan, Indiana, PA 15701-0788 | 2006-10-05 |
| 1427041516 | Indiana Regional Medical Center | General Acute Care Hospital | 835 Hospital Rd, Emergency Department, Indiana, PA 15701-3629 | 2005-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700338571 | Aimee Sue Krause | General Acute Care Hospital | 115 Biddle Ln, Somerset, PA 15501-1686 | 2016-10-27 |
| 1124496351 | Penny Miller, Phd | General Acute Care Hospital | 73 Elk St, Coudersport, PA 16915-9601 | 2015-09-03 |
| 1154743862 | Sharon Theresa Collins | General Acute Care Hospital | 2 Spruce Ct, Newtown, PA 18940 | 2014-01-15 |
| 1497192975 | Ephrata Center for Heart Care | General Acute Care Hospital | 169 Martin Ave Ste 179, Ephrata, PA 17522-1724 | 2013-05-24 |
| 1316201064 | Upmc Horizon | General Acute Care Hospital | 335 Sterling Ave Apt A209, Sharon, PA 16146-1626 | 2012-06-27 |
| 1821228586 | Upmc | General Acute Care Hospital | 600 Grant St Fl 58, Pittsburgh, PA 15219-2739 | 2009-07-16 |
| 1467626200 | Guthrie Clinic/robert Packer Hospital | General Acute Care Hospital | 323 Hayden St, Apartment A, Sayre, PA 18840-1624 | 2008-04-14 |
| 1326238734 | Heritage Valley Health System | General Acute Care Hospital | 333 Lynn Ann Dr, New Kensington, PA 15068-9397 | 2007-07-31 |
| 1891899332 | Titusville Area Hospital | General Acute Care Hospital | 406 West Oak St., Titusville, PA 16354 | 2006-09-12 |
| 1528061314 | Shamokin Area Community Hospital | General Acute Care Hospital | 4200 Hospital Rd, Coal Township, PA 17866-9668 | 2005-05-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.