Healthcare Provider Details

I. General information

NPI: 1366488108
Provider Name (Legal Business Name): JEFFERSON REGIONAL MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2006
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

565 COAL VALLEY RD
CLAIRTON PA
15025-3703
US

IV. Provider business mailing address

565 COAL VALLEY RD
CLAIRTON PA
15025-3703
US

V. Phone/Fax

Practice location:
  • Phone: 412-267-6050
  • Fax: 412-267-6472
Mailing address:
  • Phone: 412-267-6050
  • Fax: 412-267-6472

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number711801
License Number StatePA

VIII. Authorized Official

Name: RICHARD THOMAS NAGY
Title or Position: VP PAYOR & REIMBURSEMENT
Credential:
Phone: 412-334-7823