Healthcare Provider Details

I. General information

NPI: 1457148934
Provider Name (Legal Business Name): INDIANA REGIONAL MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2025
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1570 OAKLAND AVE STE 103
INDIANA PA
15701-2429
US

IV. Provider business mailing address

835 HOSPITAL RD
INDIANA PA
15701-3629
US

V. Phone/Fax

Practice location:
  • Phone: 724-357-8198
  • Fax: 724-357-8202
Mailing address:
  • Phone: 724-357-7000
  • Fax: 724-723-1516

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: APRIL MILLER
Title or Position: EXECUTIVE DIRECTOR REVENUE CYCLE
Credential:
Phone: 247-357-7008