Provider Demographics
NPI:1508000829
Name:JRMC PHYSICIAN SERVICES CORPORATION
Entity type:Organization
Organization Name:JRMC PHYSICIAN SERVICES CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE VP & COO - CORP ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:A
Authorized Official - Last Name:FRANK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-469-5487
Mailing Address - Street 1:PO BOX 18119
Mailing Address - Street 2:SUITE MOB # 310
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15236-0119
Mailing Address - Country:US
Mailing Address - Phone:412-469-7932
Mailing Address - Fax:412-469-5493
Practice Address - Street 1:565 COAL VALLEY RD
Practice Address - Street 2:
Practice Address - City:JEFFERSON HILLS
Practice Address - State:PA
Practice Address - Zip Code:15025-3703
Practice Address - Country:US
Practice Address - Phone:412-469-7932
Practice Address - Fax:412-469-5493
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JEFFERSON REGIONAL MEDICAL CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-04-30
Last Update Date:2009-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1925959OtherHIGHMARK BC/BS
PA603459OtherHEALTH AMERICA
PA214204OtherUNISON
PA1562962OtherGATEWAY
PA491COtherUPMC
PA214204OtherUNISON