Provider First Line Business Practice Location Address: 
1 HOSPITAL WAY
    Provider Second Line Business Practice Location Address: 
    Provider Business Practice Location Address City Name: 
BUTLER
    Provider Business Practice Location Address State Name: 
PA
    Provider Business Practice Location Address Postal Code: 
16001-4670
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
724-824-4545
    Provider Business Practice Location Address Fax Number: 
    Provider Enumeration Date: 
03/02/2006