Basic Information
| Provider Information | |||||||||
| NPI: | 1609064872 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ARMSTRONG COUNTY MEMORIAL HOSPITAL | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | ARMSTRONG PRIMARY CARE CENTER KITTANNING | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 579 | ||||||||
| Address2: | |||||||||
| City: | KITTANNING | ||||||||
| State: | PA | ||||||||
| PostalCode: | 162010579 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7245438164 | ||||||||
| FaxNumber: | 7245433544 | ||||||||
| Practice Location | |||||||||
| Address1: | 100 MEDICAL ARTS BLDG | ||||||||
| Address2: | SUITE 150 | ||||||||
| City: | KITTANNING | ||||||||
| State: | PA | ||||||||
| PostalCode: | 162017135 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7245435919 | ||||||||
| FaxNumber: | 7245433544 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/12/2007 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| AuthorizedOfficialLastName: | TRUDGEN | ||||||||
| AuthorizedOfficialFirstName: | DONNA | ||||||||
| AuthorizedOfficialMiddleName: | G | ||||||||
| AuthorizedOfficialTitleorPosition: | EXEC DIR ARMSTRONG PHYS PRACTICES | ||||||||
| AuthorizedOfficialTelephone: | 7245438670 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | Y | ||||||||
| ParentOrganizationLBN: | ARMSTRONG COUNTY MEMORIAL HOSPITAL | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | PA | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.