MEDICARE: ELK REGIONAL HEALTH CENTER, 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
1	275N00000X	Medicare Defined Swing Bed Hospital Unit	010901	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0832	OTHER	PA	HIGHMARK SWING-BED

General Provider Information

NPI Number	:	1598761314
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELK REGIONAL HEALTH CENTER, INC.

Provider Business Mailing Address
First Line	:	763 JOHNSONBURG RD
Second Line	:
City	:	ST MARYS
State	:	PA
Zip	:	15857-3417
Country	:	US
Telephone Number	:	814-788-8000
Fax Number	:	814-788-8234

Provider Business Practice Location Address
First Line	:	763 JOHNSONBURG RD
Second Line	:
City	:	ST MARYS
State	:	PA
Zip	:	15857-3417
Country	:	US
Telephone Number	:	814-788-8000
Fax Number	:	814-788-8234

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER
Name	:	MRS. LAURIE MACDONALD
Credential	:
Telephone Number	:	814-788-8743

Provider Enumeration Date	:	06/27/2005
Last Update Date	:	07/25/2016

Similar Medicare Providers

1003882150 — DR. KAJAL DASGUPTA M.D.
Practice Location Address:

2101 E JEFFERSON ST , KAISER PERMANENTE MEDICARE ENROLLMENT
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-2424
Practice Fax:

1881646115 — MS. MELISSA RYAN STRAUSS P.A.
Practice Location Address:

2101 E JEFFERSON ST , KAISER PERMANENTE MEDICARE ENROLLMENT
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-2424
Practice Fax:

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1447337068 — STEPHANIE GANSCHOW PHARMD
Practice Location Address:

2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106

Practice Phone: 605-373-0100
Practice Fax:

1275527814 — DUBOIS REGIONAL MEDICAL CENTER
Practice Location Address:

765 JOHNSONBURG RD
SAINT MARYS, PA
15857-3417

Practice Phone: 814-834-3017
Practice Fax: 814-834-1031

1770588709 — ELK REGIONAL HEALTH CENTER
Practice Location Address:

763 JOHNSONBURG RD
SAINT MARYS, PA
15857-3417

Practice Phone: 814-788-8488
Practice Fax: 814-788-8085

Directions to “ELK REGIONAL HEALTH CENTER, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.