1346315488 NPI number — UPMC BEHAVIORAL HEALTH OF THE ALLEGHENIES

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 1346315488 NPI number — UPMC BEHAVIORAL HEALTH OF THE ALLEGHENIES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UPMC BEHAVIORAL HEALTH OF THE ALLEGHENIES
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:
1346315488
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/02/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
500 E CHESTNUT AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ALTOONA
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
16601-5215
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
814-940-7457
Provider Business Mailing Address Fax Number:
814-569-1019

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
500 E CHESTNUT AVE
Provider Second Line Business Practice Location Address:
RESCOORDINATION
Provider Business Practice Location Address City Name:
ALTOONA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16601-5215
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-943-0414
Provider Business Practice Location Address Fax Number:
814-943-6198
Provider Enumeration Date:
11/22/2006

Additional Information

Authorized Official

Authorized Official Last Name:
CHUFF
Authorized Official First Name:
MARK
Authorized Official Middle Name:
Authorized Official Title or Position:
EXECUTIVE DIRECTOR, BEHAVIORAL HEAL
Authorized Official Telephone Number:
814-940-7457

Provider Taxonomy Codes

  • Taxonomy code: 251B00000X , with the licence number:  100000765 , 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: 1000007650021 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".




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