Chicora Medical Center, Limited Partnership

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

032402 Issued in PA

Legal business name

CHICORA MEDICAL CENTER, LIMITED PARTNERSHIP

Practice address

160 Medical Center Rd
Chicora, PA 16025-2612

Phone

(724) 431-0770

Fax

(724) 431-0764

NPI assigned

Aug 30, 2005

Last updated

Aug 14, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Steven D Tack, NHA

Title

Ceo

Phone

(724) 431-0770

Specialties & licenses 1

Addresses

Other identifiers 7

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert N Moses, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Pittsburgh, PA
  • NPI 1316146384
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407974400000",
    "number": "1003809526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 MEDICAL CENTER RD",
            "city": "CHICORA",
            "state": "PA",
            "postal_code": "160252612",
            "telephone_number": "724-431-0770",
            "fax_number": "724-431-0764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 MEDICAL CENTER RD",
            "city": "CHICORA",
            "state": "PA",
            "postal_code": "160252612",
            "telephone_number": "724-431-0770",
            "fax_number": "724-431-0764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICORA MEDICAL CENTER, LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-30",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "TACK",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "724-431-0770",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "PA",
            "license": "032402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "134924",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017572850001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHIC, CORP",
            "identifier": "4356880001",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BC",
            "identifier": "0623",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY HP",
            "identifier": "1507529",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "263257",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "211471",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Butler Health System (Butler Medical Associates - Chicora)
• Butler PT, LLC (Chicora Physical Therapy)
• Jeffrey Scott Campbell, RPH
• Chicora Dental Care, LLC
• Chicora Independent Hose Company
• Chicora Pharmacy, LLC
• Christopher R Rugaber OD LLC (Chicora Eye Care)
• Ethan Conto, DMD
• Deann Lynn Craig, RDH
• Alanna Teach Crow, CPS

• Nursing Facility/Intermediate Care Facility in Chicora, PA
• Providers in Chicora, PA by specialty
• Nursing Facility/Intermediate Care Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.