1184799249 NPI number — ARMSTRONG COUNTY MEMORIAL HOSPITAL

Table of content: (NPI 1184799249)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1184799249 NPI number — ARMSTRONG COUNTY MEMORIAL HOSPITAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ARMSTRONG COUNTY MEMORIAL HOSPITAL
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:
1184799249
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/29/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
07/17/2007
NPI Reactivation Date:
07/31/2007

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1 NOLTE DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
KITTANNING
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
16201-7111
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
245-438-5007
Provider Business Mailing Address Fax Number:
724-543-8616

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
116 MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ELDERTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15736-0615
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-354-5258
Provider Business Practice Location Address Fax Number:
724-354-4396
Provider Enumeration Date:
11/22/2006

Additional Information

Authorized Official

Authorized Official Last Name:
KOCIOLA
Authorized Official First Name:
MATTHEW
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
724-543-8500

Provider Taxonomy Codes

  • Taxonomy code: 261QR1300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 1007459070026 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 898783 . This is a "BLUE SHIELD" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 585472 . This is a "AETNA ADULT CARE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 70001 . This is a "UNISON" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 530183 . This is a "AETNA PEDIATRICS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1012923 . This is a "GATEWAY" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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