Indiana Regional Medical Center

Primary specialty

Rural Acute Care HospitalTaxonomy code 282NR1301X

License

090701 Issued in PA

Legal business name

INDIANA REGIONAL MEDICAL CENTER

Practice address

835 Hospital Road
Pet Scan
Indiana, PA 15701-0788

Phone

(724) 357-7008

NPI assigned

Oct 5, 2006

Last updated

Jul 10, 2024By 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

Mr. Michael F Ickowski, CPA, MBA

Title

Chief Financial Officer

Phone

(724) 357-7008

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1942396163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 HOSPITAL ROAD",
            "address_2": "PO BOX 788",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157010788",
            "telephone_number": "724-357-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 HOSPITAL ROAD",
            "address_2": "PET SCAN",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157010788",
            "telephone_number": "724-357-7008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA REGIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "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": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "PA",
            "license": "090701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "00068",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007713530001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 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 - Crna-Iasa
• Indiana Regional Medical Center Pharmacy
• Indiana Skilled Nursing Inc (Beacon Ridge)
• Indiana Spine Center, LLC

• Rural Acute Care Hospital in Indiana, PA
• Providers in Indiana, PA by specialty
• Rural Acute Care Hospital in Pennsylvania

• 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.

Verify at the official NPI Registry.