Healthcare Provider Details

I. General information

NPI: 1881327914
Provider Name (Legal Business Name): REBECCA ANNE BELL PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2022
Last Update Date: 07/16/2025
Certification Date: 07/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

IRMC AT CHESTNUT RIDGE URGICARE 25 COLONY BLVD
BLAIRSVILLE PA
15717-7971
US

IV. Provider business mailing address

28 MILLER DR
BLAIRSVILLE PA
15717-1521
US

V. Phone/Fax

Practice location:
  • Phone: 724-459-1700
  • Fax: 724-459-1702
Mailing address:
  • Phone: 724-762-4142
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberMA063603
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: