Healthcare Provider Details
I. General information
NPI: 1811130438
Provider Name (Legal Business Name): ALLE-KISKI MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/13/2009
Last Update Date: 04/13/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1301 CARLISLE ST
NATRONA HEIGHTS PA
15065-1152
US
IV. Provider business mailing address
1301 CARLISLE ST
NATRONA HEIGHTS PA
15065-1152
US
V. Phone/Fax
- Phone: 724-224-5100
- Fax: 724-226-7143
- Phone: 724-224-5100
- Fax: 724-226-7143
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 273Y00000X |
| Taxonomy | Rehabilitation Hospital Unit |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
NED
LAUBACHER
Title or Position: PRESIDENT AND CEO
Credential:
Phone: 724-226-7000