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NPI Code Detail

MEDICARE: EXCELA HEALTH PHYSICIAN PRACTICES, INC.

MEDICARE: EXCELA HEALTH PHYSICIAN PRACTICES, 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
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1538797535
Entity Type Code : Organization
Provider Name (Legal Business Name) : EXCELA HEALTH PHYSICIAN PRACTICES, INC.
Provider Business Mailing Address
First Line : 134 INDUSTRIAL PARK RD STE 1500
Second Line :
City : GREENSBURG
State : PA
Zip : 15601-8153
Country : US
Telephone Number : 724-850-6933
Fax Number : 724-522-4002
Provider Business Practice Location Address
First Line : 155 MOUNT PLEASANT RD
Second Line :
City : WEST NEWTON
State : PA
Zip : 15089-1839
Country : US
Telephone Number : 724-872-8501
Fax Number : 724-872-6569
Authorized Official
Title or Position : CRED COORDINATOR
Name : RENEE M VARNEY
Credential :
Telephone Number : 724-850-6933
Provider Enumeration Date : 03/27/2020
Last Update Date : 03/27/2020

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Directions to “EXCELA HEALTH PHYSICIAN PRACTICES, INC. ” Practice Location

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