Provider Demographics
NPI:1609064872
Name:ARMSTRONG COUNTY MEMORIAL HOSPITAL
Entity Type:Organization
Organization Name:ARMSTRONG COUNTY MEMORIAL HOSPITAL
Other - Org Name:ARMSTRONG PRIMARY CARE CENTER KITTANNING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXEC DIR ARMSTRONG PHYS PRACTICES
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:G
Authorized Official - Last Name:TRUDGEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-543-8670
Mailing Address - Street 1:PO BOX 579
Mailing Address - Street 2:
Mailing Address - City:KITTANNING
Mailing Address - State:PA
Mailing Address - Zip Code:16201-0579
Mailing Address - Country:US
Mailing Address - Phone:724-543-8164
Mailing Address - Fax:724-543-3544
Practice Address - Street 1:100 MEDICAL ARTS BLDG
Practice Address - Street 2:SUITE 150
Practice Address - City:KITTANNING
Practice Address - State:PA
Practice Address - Zip Code:16201-7135
Practice Address - Country:US
Practice Address - Phone:724-543-5919
Practice Address - Fax:724-543-3544
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARMSTRONG COUNTY MEMORIAL HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-10-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA005296Medicare Oscar/Certification