1821184128 NPI number — ADAGIO HEALTH INC

Table of content: (NPI 1821184128)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1821184128 NPI number — ADAGIO HEALTH INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ADAGIO HEALTH INC
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:
FAMILY HEALTH COUNCIL
Provider Other Organization Name Type Code:
4
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:
1821184128
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/26/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
960 PENN AVE
Provider Second Line Business Mailing Address:
SUITE 600
Provider Business Mailing Address City Name:
PITTSBURGH
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15222-3818
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-288-2130
Provider Business Mailing Address Fax Number:
412-288-9036

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
FORBES AND STANWIX STREET
Provider Second Line Business Practice Location Address:
TOWN PLACE SUITE 1000
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15222
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-288-2140
Provider Business Practice Location Address Fax Number:
412-338-0759
Provider Enumeration Date:
10/05/2006

Additional Information

Authorized Official

Authorized Official Last Name:
WOOD
Authorized Official First Name:
DEBORA
Authorized Official Middle Name:
Authorized Official Title or Position:
CHIEF OPERATING OFFICER
Authorized Official Telephone Number:
412-288-2130

Provider Taxonomy Codes

  • Taxonomy code: 101YA0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 133N00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 133NN1002X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 133V00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207V00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207VG0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207VX0000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QF0050X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 363L00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LF0000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LW0102X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LX0001X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 1007284320055 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1011337 . This is a "GATEWAY" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 171667 . This is a "UNISON" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1991407 . This is a "HIGHMARK (CRNP)" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: E258 . This is a "UPMC" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: AD1830898 . This is a "HIGHMARK (DIETITIAN)" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 064800 . This is a "HIGHMARK (CRNP)" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1991406 . This is a "HIGHMARK (PHYSICIAN)" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1042628 . This is a "UPMC FOR YOU" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 882591 . This is a "HIGHMARK (PHYSICIAN)" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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