NPIMap

Organization Active NPI

Indiana Regional Medical Center

Doing business as Irmc Homer City Family Medicine

  • Rural Health Clinic/Center
  • Homer City, PA
National Provider Identifier
1225825797
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
INDIANA REGIONAL MEDICAL CENTER
Doing business as
Irmc Homer City Family Medicine
Practice address
121 S Main St
Homer City, PA 15748-1518
Phone
(724) 479-2583
Fax
(724) 479-0749
NPI assigned
Apr 21, 2025
Last updated
Jul 16, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
PENNSYLVANIA MOUNTAINS CARE NETWORKAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Authorized official

Name
April Miller
Title
Executive Director Revenue Cycle
Phone
(724) 357-7008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

121 S Main St
Homer City, PA 15748-1518

Mailing address

835 Hospital Rd
Indiana, PA 15701-3629
Phone (724) 357-7000

Other names 1

  • IRMC HOMER CITY FAMILY MEDICINE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250707001234 PA Part A Provider - Rural Health Clinic 6800791187 Practice locations: Homer City, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1225825797. Details of each certification follow.

Rural health clinic certification: CCN 393459

Legal name
INDIANA REGIONAL MEDICAL CENTER
Doing business as
IRMC HOMER CITY FAMILY MEDICINE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Dec 22, 2025
Last certification
Dec 22, 2025
Ownership / control type
2B
Organization structure
CorporationNon-profit
Enrollment address
121 S Main St
Homer City, PA 15748-1518
Related CCNs
390173

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D1085058Homer City Family Medicine121 South Main Street, Homer City, PA 15748Provider-performed microscopyJun 9, 2028
39D2331927Irmc Homer City Family Medicine121 S Main St, Homer City, PA 15748Certificate of waiverOct 9, 2027

National Provider Directory

National Provider Directory
Tax ID family
Indiana Hosp15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Locations

25 Colony Blvd
Blairsville, PA 15717
Phone (724) 388-3814

25 Colony Blvd
Ste 101
Blairsville, PA 15717
Phone (724) 459-1700

120 Irmc Dr
Ste 150
Indiana, PA 15701
Phone (724) 471-1428

120 Irmc Dr
Ste 170
Indiana, PA 15701
Phone (724) 427-2700

1265 Wayne Ave
Ste 201
Indiana, PA 15701
Phone (724) 357-8127

1265 Wayne Ave
Ste 205
Indiana, PA 15701
Phone (724) 357-7240

1265 Wayne Ave
Ste 205
Indiana, PA 15701
Phone (724) 357-7240

835 Hospital Rd
#788
Indiana, PA 15701
Phone (724) 357-7000

841 Hospital Rd
Indiana, PA 15701
Phone (724) 463-3440

850 Hospital Rd
Ste 1300
Indiana, PA 15701
Phone (724) 349-9444

4210 Crawford Ave
Northern Cambria, PA 15714
Phone (724) 465-2676

Ownership & related parties

All disclosed owners & managing parties 23

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
James R Martin Individual Corporate OfficerTreasurer Nov 1, 2023
Christina Lubold Individual Corporate DirectorBoard Member Jan 1, 2025
Mary Krauland Individual Corporate DirectorBoard Member Jul 1, 2024
Pennsylvania Mountains Care Network Organization, Indiana, PA Non-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2015
Operational/Managerial Control Jul 1, 2015
James Kinneer Individual W-2 Managing EmployeeChief Human Resources Officer Nov 28, 2017
Nathan Kovalchick Individual Corporate OfficerChairman Jan 1, 2025
Wendell S Davis Individual Corporate DirectorBoard Member Jul 1, 2024
Laurie Kuzneski Individual Corporate OfficerVice Chairman Jan 1, 2024
Michael F Ickowski Sr Individual W-2 Managing EmployeeChief Financial Officer Jun 26, 2023
Mark Richards Individual W-2 Managing EmployeeChief Growth Officer Nov 28, 2017
April L Miller Individual W-2 Managing EmployeeDirector of Revenue Cycle Apr 8, 2024
T Clark Simpson Individual Corporate DirectorBoard Member Jan 1, 2024
Frank Roberts Individual Corporate OfficerSecretary Nov 1, 2023
Todd Brice Individual Corporate DirectorBoard Member Jan 1, 2025
Mark Volovic Individual W-2 Managing EmployeeChief Information Officer May 1, 2017
Rebecca Stapleton Individual Corporate DirectorBoard Member Jan 1, 2025
Wendy Haislip Individual W-2 Managing EmployeeChief Nursing Officer Oct 21, 2019
Richard K Neff Individual W-2 Managing EmployeeChief Medical Officer Oct 26, 2020
Chad R Shaffer Individual Corporate DirectorBoard Member Jul 1, 2024
Hilliary Creely Individual Corporate DirectorBoard Member Jan 1, 2024
Stephen a Wolfe Individual Corporate DirectorChief Executive Officer Feb 11, 1999
W-2 Managing EmployeeChief Executive Officer Feb 11, 1999
T Michael Price Individual Corporate DirectorBoard Member Nov 1, 2023
Russell a Drozdiak Individual Corporate DirectorBoard Member Nov 1, 2023

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Indiana Regional Medical CenterIndiana, PA, CCN 39S173 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1998
Indiana Regional Medical CenterIndiana, PA, CCN 39T173 Hospital Operational/Managerial Control Aug 24, 2005
Visiting Nurse Association of Indiana CountyIndiana, PA, CCN 397097 Home health agency 5% Or Greater Direct Ownership Interest (49%) Jan 1, 2021
Vna Family HospiceIndiana, PA, CCN 391511A Hospice 5% Or Greater Direct Ownership Interest (49%) Jan 1, 2021

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1745193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784160000000",
    "number": "1225825797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 HOSPITAL RD",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013629",
            "telephone_number": "724-357-7000",
            "fax_number": "724-723-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S MAIN ST",
            "city": "HOMER CITY",
            "state": "PA",
            "postal_code": "157481518",
            "telephone_number": "724-479-2583",
            "fax_number": "724-479-0749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA REGIONAL MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PENNSYLVANIA MOUNTAINS CARE NETWORK",
        "enumeration_date": "2025-04-21",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "APRIL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR REVENUE CYCLE",
        "authorized_official_telephone_number": "724-357-7008"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IRMC HOMER CITY FAMILY MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Homer City, PA

Sources for this page

Verify at the official NPI Registry.