Indiana Regional Medical Center
NPI 1104055946ActiveOrganization· Internal Medicine· Blairsville, PA
Internal Medicine in Blairsville, Pennsylvania, registered in NPPES in July 2009. The authorized official on file is Michael F. Ickowski, CPA, MBA, Chief Financial Officer.
Overview
| NPI | 1104055946 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 14, 2009 |
| Last updated in NPPES | Jul 10, 2024 |
| Certified by provider | Jul 10, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 090701 | PA |
| Clinic/Center, Urgent Care | 261QU0200X | 090701 | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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