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INDIANA REGIONAL MEDICAL CENTER
NPI 1104055946
Internal Medicine in Blairsville, PA

Active since July 14, 2009
INDIANA AT CHESTNUT RIDGE, 25 COLONY BLVD, BLAIRSVILLE, PA 15717(724) 357-7009(724) 357-7414 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 10, 2024, Nov 4, 2022 (2 updates tracked since 2022).

About Indiana Regional Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INDIANA REGIONAL MEDICAL CENTER (NPI 1104055946) is a healthcare organization registered as an internal medicine in Blairsville, Pennsylvania and active in the NPI registry since July 2009. The organization lists Michael F Ickowski, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1104055946
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameINDIANA REGIONAL MEDICAL CENTER
Location AddressINDIANA AT CHESTNUT RIDGE, 25 COLONY BLVDBlairsville, PA 15717
Mailing AddressPo Box 788, 835 Hospital RoadIndiana, PA 15701-0788 · (724) 357-7009 · Fax (724) 357-7414
Phone(724) 357-7009
Fax(724) 357-7414
Organization SubpartNo
Authorized OfficialMichael F IckowskiChief Financial Officer · (724) 357-7008
Enumeration DateJuly 14, 2009
Last NPPES UpdateJuly 10, 20242 updates tracked since enumeration
NPPES CertifiedJuly 10, 2024
✔ NPI 1104055946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · 090701
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X · License 090701 (PA)
INDIANA AT CHESTNUT RIDGE, Blairsville, PA 15717
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Indiana Regional Medical Center's NPI number?

The NPI number for Indiana Regional Medical Center is 1104055946. It was assigned to this organization in the NPPES registry on July 14, 2009.

Where is Indiana Regional Medical Center located?

Indiana Regional Medical Center is located at Indiana At Chestnut Ridge 25 Colony Blvd, Blairsville, PA 15717. The listed phone number is (724) 357-7009.

What is Indiana Regional Medical Center's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Indiana Regional Medical Center was last updated on July 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.