INDIANA REGIONAL MEDICAL CENTER
NPI 1770614919
Clinic/Center - Dental in Indiana, PA
- Organization
- Clinic/Center
- Dental
About INDIANA REGIONAL MEDICAL CENTER
This page provides the complete NPI Profile along with additional information for Indiana Regional Medical Center, a provider established in Indiana, Pennsylvania operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1770614919 assigned on March 2007. The practitioner's primary taxonomy code is 261QD0000X with license number 090701 (PA). The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Mr. Michael F Ickowski Cpa, Mba (Chief Financial Officer)
- NPI
- 1770614919 Verify this NPI
- Provider Name
- INDIANA REGIONAL MEDICAL CENTER
- Entity Type
- Organization
- Location Address
- 835 HOSPITAL ROAD PEDIATRIC & ADOLESCENT DENTAL CLINIC INDIANA, PA 15701
- Location Phone
- (724) 357-6960
- Location Fax
- (724) 357-6961
- Mailing Address
- 835 HOSPITAL ROAD PO BOX 788 INDIANA, PA 15701
- Mailing Phone
- (724) 357-7009
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-08-2007
- Last Update Date
- 07-10-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Dental
- Taxonomy Code
- 261QD0000X
- Type
- Ambulatory Health Care Facilities
- License No.
- 090701
- License State
- PA
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100771353 0003 | MEDICAID (05) | PA |
Reviews for INDIANA REGIONAL MEDICAL CENTER
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
INDIANA, PA 15701
INDIANA, PA 15701
INDIANA, PA 15701
INDIANA, PA 15701
INDIANA, PA 15701
INDIANA, PA 15701
INDIANA, PA 15701
INDIANA, PA 15701
INDIANA, PA 15701
INDIANA, PA 15701
INDIANA, PA 15701
INDIANA, PA 15701
INDIANA, PA 15701
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1770614919, enumerated as an "organization" on March 08, 2007.
The provider is located at 835 HOSPITAL ROAD PEDIATRIC & ADOLESCENT DENTAL CLINIC INDIANA, PA 15701 and the phone number is (724) 357-6960.
Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
