Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Indiana Regional Medical Center

Internal Medicine Physician in Blairsville, PA · enumerated 2009 · authorized official Michael Ickowski, Chief Financial Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104055946

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)

Legal business name Indiana Regional Medical Center

Practice address Indiana at Chestnut Ridge, 25 Colony Blvd, Blairsville, PA, 15717

Phone (724) 357-7009

Fax (724) 357-7414

Enumeration date Jul 14, 2009

Last updated in NPPES Jul 10, 2024

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License 090701 (PA) Primary

261QU0200X Urgent Care Clinic/Center Ambulatory Health Care Facilities · License 090701 (PA) Secondary

Authorized official

Name Michael Ickowski

Title Chief Financial Officer

Phone (724) 357-7008

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Indiana Regional Medical Center?

Indiana Regional Medical Center is registered in NPPES as a Internal Medicine Physician (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-07-10.