1487665949 NPI number — ARMSTRONG PATHOLOGY ASSO PC

Table of content: (NPI 1487665949)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1487665949 NPI number — ARMSTRONG PATHOLOGY ASSO PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ARMSTRONG PATHOLOGY ASSO PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1487665949
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 28
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WASHINGTON
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15301
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
724-228-3400
Provider Business Mailing Address Fax Number:
724-228-7040

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1 NOLTE DR
Provider Second Line Business Practice Location Address:
ARMSTRONG HOSPITAL
Provider Business Practice Location Address City Name:
KITTANNING
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-543-8122
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/10/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
CHILDS
Authorized Official First Name:
JAMES
Authorized Official Middle Name:
E
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
724-543-8122

Provider Taxonomy Codes

  • Taxonomy code: 207ZP0102X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0010418770003 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".