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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
1251E00000XHome Health Agency744205PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10866OTHERPAHIGHMARK BLUE CROSS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1972597854
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 : 814-467-3000
Fax Number : 814-467-3407
Provider Business Practice Location Address
First Line : 427 PARK PLACE
Second Line :
City : WINDBER
State : PA
Zip : 15963-1331
Country : US
Telephone Number : 814-467-3727
Fax Number : 814-467-8692
Authorized Official
Title or Position : CFO
Name : MR. RICHARD SUKENIK
Credential :
Telephone Number : 814-467-3444
Provider Enumeration Date : 09/07/2005
Last Update Date : 04/12/2016

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Directions to “WINDBER HOSPITAL, INC. ” Practice Location

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