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General NPI Number Information
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NPI Number | 1801889969
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Entity Type | Organization
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Legal Business Name | INDIANA REGIONAL MEDICAL CENTER
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Dates
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Enumeration Date | 08/24/2005
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 145 IRMC DR
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City | INDIANA
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State | PA
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Zip | 15701-3673
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Country | US
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Telephone | 724-357-7404
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Fax | 724-357-7414
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Provider Business Mailing Address
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Address Line | 835 HOSPITAL RD PO BOX 788
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City | INDIANA
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State | PA
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Zip | 15701-3629
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Country | US
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Telephone | 724-357-7008
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Fax | 724-357-7414
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MR. MICHAEL F ICKOWSKI
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Credential | CPA, MBA
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Telephone | 724-357-7008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number |
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License Number State |
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