NPIMap

Organization Active NPI

Excela Health-Incwell

  • Occupational Medicine Clinic/Center
  • Greensburg, PA
National Provider Identifier
1942396049
Registry record updated Nov 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
Legal business name
EXCELA HEALTH-INCWELL
Practice address
200 Village Dr Ste a
Greensburg, PA 15601-3783
Phone
(724) 837-9207
Fax
(724) 836-4274
NPI assigned
Oct 5, 2006
Organization subpart
Yes
Parent organization
EXCELA HEALTH PHYSICIAN PRACTICES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 2, 2009

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

Authorized official

Name
Kirk L Miller
Title
VP, Phys Serv & Exec Dir, Ehpp
Phone
(724) 830-8500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X Primary

Addresses

Primary practice location

200 Village Dr Ste a
Greensburg, PA 15601-3783

Mailing address

200 Village Dr Ste a
Greensburg, PA 15601-3783
Phone (724) 837-9207

Other names 1

  • IncWell (Latrobe Area Hospital) Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Excela Health Connellsville Internal Med-Dr Tiberio42 organizations share this tax ID, including this one
Part of
Excela Health Connellsville Internal Med-Dr Tiberio

Other organizations with this tax ID 41

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

View all 41

Locations

200 Village Dr
Ste A
Greensburg, PA 15601
Phone (724) 837-9207

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257120000000",
    "number": "1942396049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 VILLAGE DR STE A",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156013783",
            "telephone_number": "724-837-9207",
            "fax_number": "724-836-4274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 VILLAGE DR STE A",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156013783",
            "telephone_number": "724-837-9207",
            "fax_number": "724-836-4274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELA HEALTH-INCWELL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EXCELA HEALTH PHYSICIAN PRACTICES, INC",
        "enumeration_date": "2006-10-05",
        "last_updated": "2009-11-02",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VP, PHYS SERV & EXEC DIR, EHPP",
        "authorized_official_telephone_number": "724-830-8500"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IncWell (Latrobe Area Hospital)",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Greensburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2009; 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.