Healthcare Provider Details

I. General information

NPI: 1710148986
Provider Name (Legal Business Name): BUTLER VA MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2008
Last Update Date: 06/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

341 LAUREL BLVD
NEW CASTLE PA
16101-0407
US

IV. Provider business mailing address

341 LAUREL BLVD
NEW CASTLE PA
16101-0407
US

V. Phone/Fax

Practice location:
  • Phone: 724-658-9492
  • Fax:
Mailing address:
  • Phone: 724-658-9492
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ARLEEN P. CRISCI
Title or Position: RN
Credential: BSN
Phone: 724-598-0236