Provider Demographics
NPI:1285885152
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:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:TRUDGEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-543-8670
Mailing Address - Street 1:100 PARKVIEW DR
Mailing Address - Street 2:
Mailing Address - City:KITTANNING
Mailing Address - State:PA
Mailing Address - Zip Code:16201-7158
Mailing Address - Country:US
Mailing Address - Phone:724-543-4942
Mailing Address - Fax:
Practice Address - Street 1:100 PARKVIEW DR
Practice Address - Street 2:
Practice Address - City:KITTANNING
Practice Address - State:PA
Practice Address - Zip Code:16201-7158
Practice Address - Country:US
Practice Address - Phone:724-543-4942
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARMSTRONG COUNTY MEMORIAL HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-10-09
Last Update Date:2009-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA005296Medicare Oscar/Certification