1891744041 NPI number — UPMC EMERGENCY MEDICINE INC

Table of content: (NPI 1891744041)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1891744041 NPI number — UPMC EMERGENCY MEDICINE INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UPMC EMERGENCY MEDICINE 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:
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:
1891744041
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/27/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
815 FREEPORT RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PITTSBURGH
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15215-3301
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-784-4000
Provider Business Mailing Address Fax Number:
412-647-4050

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
815 FREEPORT RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15215-3301
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-784-4000
Provider Business Practice Location Address Fax Number:
412-647-4050
Provider Enumeration Date:
05/08/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
EHALT
Authorized Official First Name:
MARK
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR, REVENUE CYCLE
Authorized Official Telephone Number:
412-647-0943

Provider Taxonomy Codes

  • Taxonomy code: 207P00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207PE0004X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207PP0204X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 100733174 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 875329 . This is a "HIGHMARK BC/BS GROUP NUMB" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".