1134121387 NPI number — ALIQUIPPA COMMUNITY HOSPITAL

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1134121387 NPI number — ALIQUIPPA COMMUNITY HOSPITAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALIQUIPPA COMMUNITY HOSPITAL
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:
1134121387
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/06/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2500 HOSPITAL DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ALIQUIPPA
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15001-2123
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
724-857-1212
Provider Business Mailing Address Fax Number:
724-857-1298

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2500 HOSPITAL DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ALIQUIPPA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15001-2123
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-857-1212
Provider Business Practice Location Address Fax Number:
724-857-1298
Provider Enumeration Date:
06/01/2005

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
FELTS
Authorized Official First Name:
WILLIE
Authorized Official Middle Name:
L
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
724-857-1212

Provider Taxonomy Codes

  • Taxonomy code: 261QA1903X , with the licence number:  012601 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 282N00000X , with the licence number: 012601 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 1007403570011 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 60222 . This is a "THREE RIVERS HEALTH PLAN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 019101 . This is a "VALUE BEHAVIORAL HEALTH" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 111618 . This is a "HEALTH AMERICA/HEALTH ASSURANCE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: V0H048 . This is a "UPMC HEALTH PLAN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 0400 . This is a "BC PSYCH PROV NO" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1007403570061 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 80000 . This is a "AETNA/USHC PROV NO" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 0512 . This is a "BC SNF PROV NO" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1007403570039 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0122 . This is a "BC ACUTE PROV NO" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1005242 . This is a "GATEWAY HEALTH PLAN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".