MEDICARE: LATROBE AREA 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
1	207Q00000X	Family Medicine Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	401949	OTHER		GROUP MEDICARE NO.

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	838366	OTHER	PA	HIGHMARK
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902820590
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LATROBE AREA HOSPITAL, INC.

Provider Business Mailing Address
First Line	:	134 INDUSTRIAL PARK RD
Second Line	:	STE 2300A
City	:	GREENSBURG
State	:	PA
Zip	:	15601-7328
Country	:	US
Telephone Number	:	724-689-1835
Fax Number	:	724-850-8096

Provider Business Practice Location Address
First Line	:	101 9TH ST
Second Line	:
City	:	SALTSBURG
State	:	PA
Zip	:	15681-8985
Country	:	US
Telephone Number	:	724-639-3541
Fax Number	:	724-639-8318

Authorized Official
Title or Position	:	VICE PRESIDENT/EXEC DIR - EHPP
Name	:	MELISSA L DISHONG
Credential	:
Telephone Number	:	724-830-8500

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	11/02/2015

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Directions to “LATROBE AREA HOSPITAL, INC. ” Practice Location

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