Provider Demographics
NPI:1821163981
Name:ARMSTRONG COUNTY MEMORIAL HOSPITAL
Entity Type:Organization
Organization Name:ARMSTRONG COUNTY MEMORIAL HOSPITAL
Other - Org Name:ARMSTRONG PRIMARY CARE CENTER LEECHBURG
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT OF FINANCE CFO
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:BURNS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-543-8168
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:724-543-8616
Practice Address - Street 1:116 MAIN ST
Practice Address - Street 2:
Practice Address - City:LEECHBURG
Practice Address - State:PA
Practice Address - Zip Code:15656-1333
Practice Address - Country:US
Practice Address - Phone:724-845-1211
Practice Address - Fax:724-845-5465
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-22
Last Update Date:2008-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA484148OtherAETNA ADULT CARE
PA1013011OtherGATEWAY ADULT CARE
PA598349OtherBLUE SHIELD
PA512319OtherAETNA PEDIATRIC CARE
PA1010795OtherGATEWAY PEDIATRIC
PA70002OtherUNISON
PA1007459070009Medicaid
PA393977Medicare Oscar/Certification
PA1007459070009Medicaid