Healthcare Provider Details
I. General information
NPI: 1184682031
Provider Name (Legal Business Name): LATROBE AREA HOSPITAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/02/2006
Last Update Date: 09/28/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
134 INDUSTRIAL PARK RD STE 2300B
GREENSBURG PA
15601-7843
US
IV. Provider business mailing address
PO BOX 1200
LATROBE PA
15650-5012
US
V. Phone/Fax
- Phone: 724-689-1836
- Fax: 724-850-8107
- Phone: 724-689-1836
- Fax: 724-850-8107
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JEFFREY
T
CURRY
Title or Position: EXECUTIVE VICE PRESIDENT
Credential:
Phone: 724-832-4030