Active NPI
Indiana Regional Medical Center
- General Acute Care Hospital
- Indiana, PA
National Provider Identifier
1598386013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- Legal business name
- INDIANA REGIONAL MEDICAL CENTER
- Practice address
- 835 Hospital Rd
Indiana, PA 15701-3629 - Phone
- (724) 357-7009
- NPI assigned
- May 6, 2020
- Last updated
- Jul 10, 2024
- Organization subpart
- Yes
- Parent organization
- INDIANA REGIONAL MEDICAL CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael F Ickowski, CPA, MBA
- Title
- Chief Financial Officer
- Phone
- (724) 357-7008
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | Primary |
Addresses
Primary practice location
835 Hospital Rd
Indiana, PA 15701-3629
Mailing address
PO Box 788
Indiana, PA 15701-0788
National Provider Directory
National Provider Directory- Part of
- Indiana Hosp
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588723200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1720569600000",
"number": "1598386013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 788",
"city": "INDIANA",
"state": "PA",
"postal_code": "157010788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "835 HOSPITAL RD",
"city": "INDIANA",
"state": "PA",
"postal_code": "157013629",
"telephone_number": "724-357-7009"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INDIANA REGIONAL MEDICAL CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "INDIANA REGIONAL MEDICAL CENTER",
"enumeration_date": "2020-05-06",
"last_updated": "2024-07-10",
"certification_date": "2024-07-10",
"status": "A",
"authorized_official_last_name": "ICKOWSKI",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "724-357-7008",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CPA, MBA"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indiana, PA
- Indiana Regional Medical Center (Irmc Women's Health)
- Indiana Regional Medical Center
- Indiana Regional Medical Center (Irmc Primary Care Center)
- Indiana Regional Medical Center
- Indiana Regional Medical Center
- Indiana Regional Medical Center
- Indiana Regional Medical Center
- Indiana Regional Medical Center
- Indiana Regional Medical Center
- Indiana Regional Medical Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.