Indiana Regional Medical Center
NPI 1104055946 · Internal Medicine Physician · Blairsville, PA
Indiana Regional Medical Center is a Internal Medicine Physician organization in Blairsville, PA (NPI 1104055946).
Provider details
- NPI number
- 1104055946
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Ickowski, Chief Financial Officer(724) 357-7008
- License
- 090701 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-07-14
- Last updated
- 2024-07-10
- Certified
- 2024-07-10
Frequently asked questions
- What is Indiana Regional Medical Center's NPI number?
- Indiana Regional Medical Center's National Provider Identifier (NPI) is 1104055946, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Indiana Regional Medical Center?
- Indiana Regional Medical Center is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Indiana Regional Medical Center located?
- Indiana Regional Medical Center's practice location on file with NPPES is Indiana at Chestnut Ridge, Blairsville, PA 15717.
- What is Indiana Regional Medical Center's phone number?
- The practice phone number listed in the NPPES registry for Indiana Regional Medical Center is (724) 357-7009.
- Who is the authorized official for Indiana Regional Medical Center?
- The authorized official listed on Indiana Regional Medical Center's NPPES record is Michael Ickowski, Chief Financial Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Indiana Regional Medical Center's NPI active?
- Yes — Indiana Regional Medical Center's NPI (1104055946) is active in the NPPES registry as of the last update on 2024-07-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.