1144215039 NPI number — HIGHLANDS HOSPITAL AND HEALTH CENTER

Table of content: (NPI 1144215039)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144215039 NPI number — HIGHLANDS HOSPITAL AND HEALTH CENTER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HIGHLANDS HOSPITAL AND HEALTH CENTER
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1144215039
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/15/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
401 E MURPHY AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CONNELLSVILLE
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15425-2724
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
724-628-1500
Provider Business Mailing Address Fax Number:
724-626-2217

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
401 E MURPHY AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CONNELLSVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15425-2724
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-628-1500
Provider Business Practice Location Address Fax Number:
724-626-2217
Provider Enumeration Date:
09/16/2005

Additional Information

Authorized Official

Authorized Official Last Name:
STRISHOCK
Authorized Official First Name:
JOURDAN
Authorized Official Middle Name:
Authorized Official Title or Position:
COMPLIANCE ANALYST/ENROLLMENT SUPV
Authorized Official Telephone Number:
814-375-6160

Provider Taxonomy Codes

  • Taxonomy code: 261QM1300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 282N00000X , with the licence number: 037301 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 000000056000 . This is a "THREE RIVERS HEALTH PLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1069 . This is a "BLUE CROSS SWING BED" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 0036 . This is a "BLUE CROSS ACUTE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1503092 . This is a "UPMC FOR YOU" identifier . This identifiers is of the category "OTHER".
  • Identifier: 000000060233 . This is a "THREE RIVERS HEALTH PLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1005837 . This is a "GATEWAY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1304 . This is a "BLUE CROSS STEP DOWN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1007769210009 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1007769210010 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 401023 . This is a "MEDICARE GROUP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 50 . This is a "UPMC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0013140 . This is a "USHC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1007769210016 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 037331900 . This is a "BLACK LUNG" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1334532 . This is a "UMWA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 017840200 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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