Healthcare Provider Details

I. General information

NPI: 1609338334
Provider Name (Legal Business Name): TITUSVILLE AREA HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2019
Last Update Date: 04/02/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 MAIN ST
SAEGERTOWN PA
16433-0846
US

IV. Provider business mailing address

1034 GROVE ST
MEADVILLE PA
16335-2945
US

V. Phone/Fax

Practice location:
  • Phone: 814-763-1106
  • Fax: 814-763-1129
Mailing address:
  • Phone: 814-763-1106
  • Fax: 814-763-1129

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: JILL ANN NEELY
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 814-827-1851