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NPI Code Detail

MEDICARE: WINDBER HOSPITAL, INC.

MEDICARE: WINDBER HOSPITAL, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery PhysicianMD029007EPA
2208600000XSurgery PhysicianMD059296LPA
3208600000XSurgery Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21634084OTHERPABLUE CROSS

General Provider Information

NPI Number : 1376543942
Entity Type Code : Organization
Provider Name (Legal Business Name) : WINDBER HOSPITAL, INC.
Provider Business Mailing Address
First Line : 600 SOMERSET AVE
Second Line :
City : WINDBER
State : PA
Zip : 15963-1331
Country : US
Telephone Number : 814-467-3653
Fax Number : 814-467-3655
Provider Business Practice Location Address
First Line : 600 SOMERSET AVE
Second Line :
City : WINDBER
State : PA
Zip : 15963-1331
Country : US
Telephone Number : 814-467-3653
Fax Number : 814-467-3655
Authorized Official
Title or Position : PRESIDENT / CEO
Name : TOM KURTZ
Credential :
Telephone Number : 814-467-3702
Provider Enumeration Date : 07/26/2005
Last Update Date : 06/10/2015

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Directions to “WINDBER HOSPITAL, INC. ” Practice Location

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