1376823047 NPI number — MRS. JUDITH ANNE BELL SP011473

Table of content: MRS. JUDITH ANNE BELL SP011473 (NPI 1376823047)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1376823047 NPI number — MRS. JUDITH ANNE BELL SP011473

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BELL
Provider First Name:
JUDITH
Provider Middle Name:
ANNE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
SP011473
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MIHALY
Provider Other First Name:
JUDITH
Provider Other Middle Name:
ANNE
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
RN238629L
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1376823047
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/08/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2620-C MEMORIAL BLVD
Provider Second Line Business Mailing Address:
CHAT-A-WHO-CHEE SQUARE
Provider Business Mailing Address City Name:
CONNELLSVILLE
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15425
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
724-626-0700
Provider Business Mailing Address Fax Number:
724-626-8700

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2620-C MEMORIAL BLVD
Provider Second Line Business Practice Location Address:
HIGHLANDS MEDICAL
Provider Business Practice Location Address City Name:
CONNELLSVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15425
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-626-0700
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/25/2011

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  SP011473 , 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)