1497760284 NPI number — UPMC ST MARGARET

Table of content: (NPI 1497760284)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497760284 NPI number — UPMC ST MARGARET

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UPMC ST MARGARET
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:
UPMC NEW KENSINGTON FAMILY HEALTH CENTER
Provider Other Organization Name Type Code:
5
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:
1497760284
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/08/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
301 11TH ST
Provider Second Line Business Mailing Address:
SUITE C
Provider Business Mailing Address City Name:
NEW KENSINGTON
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15068-6179
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
724-334-3640
Provider Business Mailing Address Fax Number:
724-334-3644

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
301 11TH ST
Provider Second Line Business Practice Location Address:
SUITE C
Provider Business Practice Location Address City Name:
NEW KENSINGTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15068-6179
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-334-3640
Provider Business Practice Location Address Fax Number:
724-334-3644
Provider Enumeration Date:
07/30/2006

Additional Information

Authorized Official

Authorized Official Last Name:
DORUNDO
Authorized Official First Name:
CYNTHIA
Authorized Official Middle Name:
M
Authorized Official Title or Position:
VP FINANCE/CFO
Authorized Official Telephone Number:
412-784-4235

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207R00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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





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