1. Home
  2. Directory
  3. Pennsylvania
  4. Indiana
  5. Clinic Center
  6. NPI Profile

INDIANA REGIONAL MEDICAL CENTER
NPI 1770614919
Clinic/Center - Dental in Indiana, PA

Active since March 08, 2007
835 HOSPITAL ROAD, PEDIATRIC & ADOLESCENT DENTAL CLINIC, INDIANA, PA 15701(724) 357-6960(724) 357-6961 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 1770614919) is a healthcare organization registered as a dental in Indiana, Pennsylvania and active in the NPI registry since March 2007. The organization lists Michael F Ickowski, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1770614919
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameINDIANA REGIONAL MEDICAL CENTER
Location Address835 HOSPITAL ROAD, PEDIATRIC & ADOLESCENT DENTAL CLINICIndiana, PA 15701-0788
Mailing Address835 Hospital Road, Po Box 788Indiana, PA 15701-0788 · (724) 357-7009
Phone(724) 357-6960
Fax(724) 357-6961
Organization SubpartNo
Authorized OfficialMichael F IckowskiChief Financial Officer · (724) 357-7008
Enumeration DateMarch 8, 2007
Last NPPES UpdateJuly 10, 20242 updates tracked since enumeration
NPPES CertifiedJuly 10, 2024
✔ NPI 1770614919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in PA · 090701
835 HOSPITAL ROAD, Indiana, PA 15701
Open in Google Maps ↗

Other Identifiers 1

Medicaid100771353 0003PA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. RITA L STREZO CRNA
Nurse Anesthetist, Certified Registered
835 HOSPITAL ROAD, ANESTHESIOLOGY DEPARTMENT
INDIANA, PA 15701
Indiana County (724) 357-7218
LORI M SMITH LDN
Dietitian, Registered
835 HOSPITAL ROAD, DIETITIAN
INDIANA, PA 15701
Indiana County (724) 357-7164
MISS TAYLOR MARIE PALMER MS, CF-SLP
Speech-Language Pathologist
835 HOSPITAL ROAD
INDIANA, PA 15701
Indiana County (724) 357-7493
MR. STEVEN L. SEEVER CRNA
Nurse Anesthetist, Certified Registered
835 HOSPITAL ROAD, ANESTHESIOLOGY DEPARTMENT
INDIANA, PA 15701
Indiana County (724) 357-7218
HANNA GRATZMILLER BLYSTONE MS,CCC-SLP
Speech-Language Pathologist
835 HOSPITAL ROAD
INDIANA, PA 15701
Indiana County (724) 357-7000
MS. COLLEEN MCHUGH CRNA
Nurse Anesthetist, Certified Registered
835 HOSPITAL ROAD, ANESTHESIOLOGY DEPARTMENT
INDIANA, PA 15701
Indiana County (724) 357-7218
MR. ROSEANN M STANISCIA CRNA
Nurse Anesthetist, Certified Registered
835 HOSPITAL ROAD, ANESTHESIOLOGY DEPARTMENT
INDIANA, PA 15701
Indiana County (724) 357-7218
DR. KWANG HO CHUNG M.D.
Emergency Medicine
835 HOSPITAL ROAD, EMERGENCY DEPARTMENT
INDIANA, PA 15701
Indiana County (724) 357-7121

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 1770614919. It was assigned to this organization in the NPPES registry on March 8, 2007.

Where is Indiana Regional Medical Center located?

Indiana Regional Medical Center is located at 835 Hospital Road Pediatric & Adolescent Dental Clinic, Indiana, PA 15701. The listed phone number is (724) 357-6960.

What is Indiana Regional Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

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.