Provider Demographics
NPI:1881864510
Name:RHJ MEDICAL CENTER VANDERGRIFT LLC
Entity Type:Organization
Organization Name:RHJ MEDICAL CENTER VANDERGRIFT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORPORATE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:CAC
Authorized Official - Phone:724-493-8466
Mailing Address - Street 1:9841 FOX CHASE DR
Mailing Address - Street 2:
Mailing Address - City:NORTH HUNTINGDON
Mailing Address - State:PA
Mailing Address - Zip Code:15642-6607
Mailing Address - Country:US
Mailing Address - Phone:724-493-8466
Mailing Address - Fax:
Practice Address - Street 1:2994 RIVER RD
Practice Address - Street 2:
Practice Address - City:VANDERGRIFT
Practice Address - State:PA
Practice Address - Zip Code:15690-6053
Practice Address - Country:US
Practice Address - Phone:724-842-0357
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-10
Last Update Date:2021-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA037020251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health