Provider Demographics
NPI:1184682031
Name:LATROBE AREA HOSPITAL, INC.
Entity Type:Organization
Organization Name:LATROBE AREA HOSPITAL, INC.
Other - Org Name:LATROBE FAMILY MEDICINE BILLING
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:T
Authorized Official - Last Name:CURRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-832-4030
Mailing Address - Street 1:PO BOX 1200
Mailing Address - Street 2:
Mailing Address - City:LATROBE
Mailing Address - State:PA
Mailing Address - Zip Code:15650-5012
Mailing Address - Country:US
Mailing Address - Phone:724-689-1836
Mailing Address - Fax:724-850-8107
Practice Address - Street 1:134 INDUSTRIAL PARK RD STE 2300B
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-7843
Practice Address - Country:US
Practice Address - Phone:724-689-1836
Practice Address - Fax:724-850-8107
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LATROBE AREA HOSPITAL, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-05-02
Last Update Date:2007-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007610520084Medicaid
PA1007610520084Medicaid