Healthcare Provider Details

I. General information

NPI: 1063349116
Provider Name (Legal Business Name): TYRONE HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 HOSPITAL DR STE 3
TYRONE PA
16686-1828
US

IV. Provider business mailing address

187 HOSPITAL DR
TYRONE PA
16686-1808
US

V. Phone/Fax

Practice location:
  • Phone: 814-205-1902
  • Fax: 814-205-1905
Mailing address:
  • Phone: 814-684-1255
  • Fax: 814-684-6395

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: BRIAN S KLINE
Title or Position: VP FISCAL AFFAIRS
Credential:
Phone: 814-375-6377