Healthcare Provider Details

I. General information

NPI: 1801940572
Provider Name (Legal Business Name): SRMC HEALTHCARE GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 BONAR AVE
WAYNESBURG PA
15370-1608
US

IV. Provider business mailing address

350 BONAR AVE
WAYNESBURG PA
15370-1608
US

V. Phone/Fax

Practice location:
  • Phone: 724-627-2758
  • Fax:
Mailing address:
  • Phone: 724-627-2758
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code146M00000X
TaxonomyIntermediate Emergency Medical Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: JOHN MAY
Title or Position: CFO
Credential:
Phone: 724-627-2758