Healthcare Provider Details

I. General information

NPI: 1255356911
Provider Name (Legal Business Name): FRICK HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

508 S CHURCH ST
MT PLEASANT PA
15666
US

IV. Provider business mailing address

PO BOX 1100
LATROBE PA
15650-5011
US

V. Phone/Fax

Practice location:
  • Phone: 724-547-1500
  • Fax: 724-832-4468
Mailing address:
  • Phone: 724-547-1500
  • Fax: 724-832-4468

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number083801
License Number StatePA

VIII. Authorized Official

Name: MR. JEFFREY T CURRY
Title or Position: EXECUTIVE VICE PRESIDENT CFO
Credential:
Phone: 724-832-4030