Provider Demographics
NPI:1184799249
Name:ARMSTRONG COUNTY MEMORIAL HOSPITAL
Entity type:Organization
Organization Name:ARMSTRONG COUNTY MEMORIAL HOSPITAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:KOCIOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-543-8500
Mailing Address - Street 1:1 NOLTE DR
Mailing Address - Street 2:
Mailing Address - City:KITTANNING
Mailing Address - State:PA
Mailing Address - Zip Code:16201-7111
Mailing Address - Country:US
Mailing Address - Phone:245-438-5007
Mailing Address - Fax:724-543-8616
Practice Address - Street 1:116 MAIN ST
Practice Address - Street 2:
Practice Address - City:ELDERTON
Practice Address - State:PA
Practice Address - Zip Code:15736-0615
Practice Address - Country:US
Practice Address - Phone:724-354-5258
Practice Address - Fax:724-354-4396
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-22
Last Update Date:2024-08-29
Deactivation Date:2007-07-17
Deactivation Code:
Reactivation Date:2007-07-31
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007459070026Medicaid
PA898783OtherBLUE SHIELD
PA585472OtherAETNA ADULT CARE
PA70001OtherUNISON
PA530183OtherAETNA PEDIATRICS
PA1012923OtherGATEWAY
PA530183OtherAETNA PEDIATRICS
PA1012923OtherGATEWAY