ELK REGIONAL HEALTH CENTER (NPI# 1952554602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952554602 |
| Entity Type | Organization |
| Organization Name | ELK REGIONAL HEALTH CENTER |
| Other Organization Name | PENN HIGHLANDS ELK PHYSICIAN SVCS |
| Practice Address |
416 N Broad St Emporium PA 15834-1402 |
| Mailing Address |
763 Johnsonburg Rd Saint Marys PA 15857-3417 |
| Practice Telephone | 8147888000 |
| Mailing Telephone | 8143754200 |
| Mailing Fax Number | 8143754232 |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2020-10-14 |
| Authorized Official Name | BRADLEY J CHAPMAN (PRESIDENT/AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 8147888550 |
| Is Organization Subpart | Y |
| Parent Organization Name | PENN HIGHLANDS HEALTHCARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | PTAN | 139645 | 01 |
| Other Name | Type Code |
|---|---|
| Elk Regional Health Center Physician Services | Doing Business As Name - Organization |
| Penn Highlands Elk Physician Svcs | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 111 Cobb St, Johnsonburg, PA 158451209 | 8147888000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770588709 | Elk Regional Health Center | Skilled Nursing Facility | 763 Johnsonburg Rd, Saint Marys, PA 15857-3417 | 2005-06-16 |
| 1558989970 | Elk Regional Health Center | Family Medicine | 111 Cobb St, Johnsonburg, PA 15845-1209 | 2020-07-13 |
| 1245858109 | Elk Regional Health Center | Family Medicine | 416 N Broad St, Emporium, PA 15834-1402 | 2020-07-08 |
| 1114460391 | Elk Regional Health Center | Emergency Medicine | 763 Johnsonburg Rd, Saint Marys, PA 15857 | 2016-11-21 |
| 1326427196 | Elk Regional Health Center | Nurse Anesthetist, Certified Registered | 763 Johnsonburg Rd, Saint Marys, PA 15857-3417 | 2015-05-26 |
| 1326434242 | Elk Regional Health Center | General Acute Care Hospital | 763 Johnsonburg Rd, Saint Marys, PA 15857-3417 | 2015-04-07 |
| 1093101032 | Elk Regional Health Center | Medicare Defined Swing Bed Unit | 763 Johnsonburg Rd, Saint Marys, PA 15857-3417 | 2015-04-07 |
| 1437396348 | Elk Regional Health Center | General Acute Care Hospital | 763 Johnsonburg Rd, Saint Marys, PA 15857-3417 | 2009-01-14 |
| 1033385083 | Elk Regional Health Center | General Acute Care Hospital | 763 Johnsonburg Rd, Saint Marys, PA 15857-3417 | 2008-04-30 |
| 1174685283 | Elk Regional Health Center | General Acute Care Hospital | 763 Johnsonburg Rd, Saint Marys, PA 15857-3417 | 2006-12-14 |
| Street Address |
416 N BROAD ST |
| City | EMPORIUM |
| State | PA |
| Zip Code | 15834-1402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801853064 | William F Wittman | Nurse Practitioner | 416 N Broad St, Emporium, PA 15834-1402 | 2006-04-28 |
| 1245858109 | Elk Regional Health Center | Family Medicine | 416 N Broad St, Emporium, PA 15834-1402 | 2020-07-08 |
| 1225487895 | Robin Hammersley | Nurse Practitioner | 416 N Broad St, Emporium, PA 15834 | 2016-06-06 |
| 1386008720 | Dubois Regional Medical Center | Family Medicine | 416 N Broad St, Emporium, PA 15834-1402 | 2016-04-12 |
| 1356718241 | Nicole Gralak | Physical Therapist | 416 N Broad St, Emporium, PA 15834-1402 | 2015-08-26 |
| 1972988780 | Dubois Regional Med Ctr - Penn Highlands Q-care/family Med Emporium | Physician Assistant | 416 N Broad St, Emporium, PA 15834-1402 | 2015-07-22 |
| 1083991814 | Mary C Schimp | Physician Assistant | 416 N Broad St, Emporium, PA 15834-1402 | 2011-11-08 |
| 1649427071 | Dubois Regional Medical Center | Family Medicine | 416 N Broad St, Emporium, PA 15834-1402 | 2008-08-27 |
| 1669401568 | Allegheny Health Initiatives, LLP | Family Medicine | 416 N Broad St, Emporium, PA 15834-1402 | 2006-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396940771 | Donna Mckimm | Registered Nurse | 3225 Rich Valley Rd, Emporium, PA 15834 | 2007-06-18 |
| 1346207925 | A Blair Lundberg | Pharmacist | 34 East 4th St, Emporium, PA 15834 | 2006-04-27 |
| 1740334549 | Joel & June Caldwell Inc | Durable Medical Equipment & Medical Supplies | 105 4th St, Emporium, PA 15834 | 2007-01-22 |
| 1518167584 | Charles A. Blumle D.d.s., P.C. | Dentist | 404 N Maple St, Emporium, PA 15834-1225 | 2007-07-18 |
| 1669634572 | Charles A Blumle | Dentist | 404 N Maple St, Emporium, PA 15834-1225 | 2008-07-01 |
| 1710975768 | Jodi Rae Regulski | Physician Assistant | 90 E 2nd St, Emporium, PA 15834-1302 | 2005-10-12 |
| 1174173595 | Renee Mostyn | Dental Hygienist | 90 E 2nd St, Emporium, PA 15834-1302 | 2019-09-17 |
| 1285150227 | Savanah Marie Krivonyak | Dental Hygienist | 90 E 2nd St, Emporium, PA 15834-1302 | 2017-08-22 |
| 1215451927 | Kane Dental Center | Dentist | 90 E 2nd St, Emporium, PA 15834-1302 | 2017-08-03 |
| 1801338462 | Bryton Dybowski | Physician Assistant | 90 E 2nd St, Emporium, PA 15834-1302 | 2016-11-14 |
| Find all providers in zip 15834 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1548727621 | Drayer Physical Therapy Institute LLC | Clinic/Center | 165 Glen Dr, Manchester, PA 17345-1336 | 2019-02-26 |
| 1962970830 | Drayer Physical Therapy Institute LLC | Clinic/Center | 6560 Carlisle Pike Ste 425, Mechanicsburg, PA 17050-8246 | 2018-11-08 |
| 1598233520 | Drayer Physical Therapy Institute LLC | Clinic/Center | 1606 N Center Ave Ste 170, Somerset, PA 15501-7052 | 2018-11-07 |
| 1477021921 | Tower Health Urgent Care, LLC | Clinic/Center | 1139 Ben Franklin Pkwy, Douglassville, PA 19518 | 2018-11-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.