Provider Demographics
NPI:1508157660
Name:ELLWOOD MEDICAL CENTER OPERATIONS, LLC
Entity Type:Organization
Organization Name:ELLWOOD MEDICAL CENTER OPERATIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:STELTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-752-6765
Mailing Address - Street 1:724 PERSHING ST
Mailing Address - Street 2:
Mailing Address - City:ELLWOOD CITY
Mailing Address - State:PA
Mailing Address - Zip Code:16117-1474
Mailing Address - Country:US
Mailing Address - Phone:724-752-0081
Mailing Address - Fax:724-752-0966
Practice Address - Street 1:724 PERSHING ST
Practice Address - Street 2:
Practice Address - City:ELLWOOD CITY
Practice Address - State:PA
Practice Address - Zip Code:16117-1474
Practice Address - Country:US
Practice Address - Phone:724-752-0081
Practice Address - Fax:724-752-0966
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-25
Last Update Date:2018-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes275N00000XHospital UnitsMedicare Defined Swing Bed Unit