Provider Demographics
NPI: | 1437391893 |
---|---|
Name: | WINDBER HOSPITAL, INC. |
Entity Type: | Organization |
Organization Name: | WINDBER HOSPITAL, INC. |
Other - Org Name: | WINDBERCARE PAIN CLINIC |
Other - Org Type: | Doing Business As |
Authorized Official - Title/Position: | PRESIDENT/CEO |
Authorized Official - Prefix: | DR |
Authorized Official - First Name: | BARBARA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | CLIFF |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | PHD, FACHE |
Authorized Official - Phone: | 814-467-3702 |
Mailing Address - Street 1: | 600 SOMERSET AVE |
Mailing Address - Street 2: | |
Mailing Address - City: | WINDBER |
Mailing Address - State: | PA |
Mailing Address - Zip Code: | 15963-1331 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 814-467-3146 |
Mailing Address - Fax: | 814-467-3655 |
Practice Address - Street 1: | 600 SOMERSET AVE |
Practice Address - Street 2: | |
Practice Address - City: | WINDBER |
Practice Address - State: | PA |
Practice Address - Zip Code: | 15963-1331 |
Practice Address - Country: | US |
Practice Address - Phone: | 814-467-3146 |
Practice Address - Fax: | 814-467-3655 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2009-04-01 |
Last Update Date: | 2009-11-23 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 207LP2900X | Allopathic & Osteopathic Physicians | Anesthesiology | Pain Medicine | Group - Single Specialty |