Provider Demographics
NPI:1295991248
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:G
Authorized Official - Last Name:TRUDGEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-543-8670
Mailing Address - Street 1:313 FORD ST
Mailing Address - Street 2:SUITE 2B
Mailing Address - City:FORD CITY
Mailing Address - State:PA
Mailing Address - Zip Code:16226-1268
Mailing Address - Country:US
Mailing Address - Phone:724-763-4084
Mailing Address - Fax:724-763-4083
Practice Address - Street 1:313 FORD ST
Practice Address - Street 2:SUITE 2B
Practice Address - City:FORD CITY
Practice Address - State:PA
Practice Address - Zip Code:16226-1268
Practice Address - Country:US
Practice Address - Phone:724-763-4084
Practice Address - Fax:724-763-4083
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARMSTRONG COUNTY MEMORIAL HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-07-30
Last Update Date:2009-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4338772086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA005296Medicare Oscar/Certification