Healthcare Provider Details

I. General information

NPI: 1902820590
Provider Name (Legal Business Name): LATROBE AREA HOSPITAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2006
Last Update Date: 11/02/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 9TH ST
SALTSBURG PA
15681-8985
US

IV. Provider business mailing address

134 INDUSTRIAL PARK RD STE 2300A
GREENSBURG PA
15601-7328
US

V. Phone/Fax

Practice location:
  • Phone: 724-639-3541
  • Fax: 724-639-8318
Mailing address:
  • Phone: 724-689-1835
  • Fax: 724-850-8096

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MELISSA L DISHONG
Title or Position: VICE PRESIDENT/EXEC DIR - EHPP
Credential:
Phone: 724-830-8500