Indiana Regional Medical Center
Organization Active NPI Rural Health Clinic/Center · Homer City, PA
NPI 1225825797 · NPPES record last updated Jul 16, 2026
Key facts
- NPI
- 1225825797
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- INDIANA REGIONAL MEDICAL CENTER
- Practice address
- 121 S Main St
Homer City, PA 15748-1518 - Phone
- (724) 479-2583
- Fax
- (724) 479-0749
- NPI assigned
- Apr 21, 2025
- Organization subpart
- Yes
- Parent organization (as reported)
- PENNSYLVANIA MOUNTAINS CARE NETWORK
Authorized official
- Name
- April Miller
- Title
- Executive Director Revenue Cycle
- Phone
- (724) 357-7008
Owners & managing parties with NPI records 4
-
Russell Drozdiak, M.D.
-
Richard K Neff, MD
-
Chad R Shaffer, MD
Owned or controlled facilities with NPI records 4
Other NPIs with the same Medicare PAC ID 6
Corporate family (same tax ID) 14
Related certifications (CCN) 4
Facilities with the same owner 3
Practitioners 23
-
Rebecca Anne Bell, PA-C
-
Wade Evans, CRNP
-
Donald George, P.A.
-
Jamie Lynn Thompson, CRNP
-
Melanie G. Ludwig, CRNP
-
Thomas McDowell, MSN, APRN, FNP-C
-
Jason P Rasefske, MD
-
Sara Zorak, PA-C
-
Sara Marie Covone, PA-C
-
Brittany Nicole Cowfer, PA-C
-
Gretchen Mary Crovak, PA-C
-
Julia Maria Donatelli, PA-C
-
Nathaniel Kriger, D.O.
-
Jason Myers, CRNP
-
Bruce A Bush, MD
-
Russell Drozdiak, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D1085058 | Homer City Family Medicine | Provider-performed microscopy | Jun 9, 2028 |
| 39D2331927 | Irmc Homer City Family Medicine | Certificate of waiver | Oct 9, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
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
- Corporation · Non-profit
- Enrollment address
- 121 S Main St
Homer City, PA 15748-1518 - Related CCNs
- 390173
All disclosed owners & managing parties 23
| Name | Role | Since | Share |
|---|---|---|---|
| James R Martin |
Corporate Officer |
Nov 1, 2023 | |
| Christina Lubold |
Corporate Director |
Jan 1, 2025 | |
| Mary Krauland |
Corporate Director |
Jul 1, 2024 | |
| Pennsylvania Mountains Care Network |
5% Or Greater Indirect Ownership Interest | Jul 1, 2015 | |
| Operational/Managerial Control | Jul 1, 2015 | ||
| James Kinneer |
W-2 Managing Employee |
Nov 28, 2017 | |
| Nathan Kovalchick |
Corporate Officer |
Jan 1, 2025 | |
| Wendell S Davis |
Corporate Director |
Jul 1, 2024 | |
| Laurie Kuzneski |
Corporate Officer |
Jan 1, 2024 | |
| Michael F Ickowski Sr |
W-2 Managing Employee |
Jun 26, 2023 | |
| Mark Richards |
W-2 Managing Employee |
Nov 28, 2017 | |
| April L Miller |
W-2 Managing Employee |
Apr 8, 2024 | |
| T Clark Simpson |
Corporate Director |
Jan 1, 2024 | |
| Frank Roberts |
Corporate Officer |
Nov 1, 2023 | |
| Todd Brice |
Corporate Director |
Jan 1, 2025 | |
| Mark Volovic |
W-2 Managing Employee |
May 1, 2017 | |
| Rebecca Stapleton |
Corporate Director |
Jan 1, 2025 | |
| Wendy Haislip |
W-2 Managing Employee |
Oct 21, 2019 | |
| Richard K Neff |
W-2 Managing Employee |
Oct 26, 2020 | |
| Chad R Shaffer |
Corporate Director |
Jul 1, 2024 | |
| Hilliary Creely |
Corporate Director |
Jan 1, 2024 | |
| Stephen a Wolfe |
Corporate Director |
Feb 11, 1999 | |
| W-2 Managing Employee |
Feb 11, 1999 | ||
| T Michael Price |
Corporate Director |
Nov 1, 2023 | |
| Russell a Drozdiak |
Corporate Director |
Nov 1, 2023 |
All facility ownership & control disclosures 4
| Facility | Type | Role | Since |
|---|---|---|---|
| Indiana Regional Medical Center |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 1998 |
| Indiana Regional Medical Center |
Hospital | Operational/Managerial Control | Aug 24, 2005 |
| Visiting Nurse Association of Indiana County |
Home health agency | 5% Or Greater Direct Ownership Interest (49%) | Jan 1, 2021 |
| Vna Family Hospice |
Hospice | 5% Or Greater Direct Ownership Interest (49%) | Jan 1, 2021 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250707001234 | PA | Part a Provider - Rural Health Clinic | 6800791187 | Practice locations: Homer City, PA |
National Provider Directory
- Tax ID family
- Indiana Hosp
Locations
1265 Wayne Ave
Ste 201
Indiana, PA 15701
Phone (724) 357-8127
120 Irmc Dr
Ste 150
Indiana, PA 15701
Phone (724) 471-1428
835 Hospital Rd
#788
Indiana, PA 15701
Phone (724) 357-7000
120 Irmc Dr
Ste 170
Indiana, PA 15701
Phone (724) 427-2700
1265 Wayne Ave
Ste 205
Indiana, PA 15701
Phone (724) 357-7240
1265 Wayne Ave
Ste 205
Indiana, PA 15701
Phone (724) 357-7240
238 Indiana St
Seward, PA 15954
Phone (814) 446-5126
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Yes |
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
- IRMC HOMER CITY FAMILY MEDICINE
Other providers in Homer City, PA
- Annette Jean Crowe
- Morgan Ann Daugherty
- Sarah E. Diaz Martinez
- Kendra Renee Fairman
- Homer-Center School District
- Indiana Total Therapy
- Natalee Ann Kontir
- Amy Lynn Kriger
- Mains Chiropractic LLC
- David Robert Mains
All providers in Homer City, PA · Rural Health Clinic/Center in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.