Basic Information
| Provider Information | |||||||||
| NPI: | 1497362453 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HIGHLANDS HOSPITAL AND HEALTH CENTER | ||||||||
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| OtherOrganizationName: | HIGHLANDS HOSPITAL WOMEN'S HEALTH CENTER | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 401 E MURPHY AVE | ||||||||
| Address2: | |||||||||
| City: | CONNELLSVILLE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 154252700 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7246262221 | ||||||||
| FaxNumber: | 7246262217 | ||||||||
| Practice Location | |||||||||
| Address1: | 700 PARK ST STE 6 | ||||||||
| Address2: | |||||||||
| City: | CONNELLSVILLE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 154252744 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7246032671 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/24/2020 | ||||||||
| LastUpdateDate: | 09/01/2022 | ||||||||
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| AuthorizedOfficialLastName: | ANDURSKY | ||||||||
| AuthorizedOfficialFirstName: | JOHN | ||||||||
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| AuthorizedOfficialTitleorPosition: | PATIENT ACCOUNTING MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 7246262359 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | Y | ||||||||
| ParentOrganizationLBN: | HIGHLANDS HOSPITAL AND HEALTH CENTER | ||||||||
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| NPICertificationDate: | 09/01/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207VG0400X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Gynecology |
No ID Information.