1215901533 NPI number — ALLEGHENY MEDICAL PRACTICE NETWORK

Table of content: (NPI 1215901533)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1215901533 NPI number — ALLEGHENY MEDICAL PRACTICE NETWORK

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALLEGHENY MEDICAL PRACTICE NETWORK
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:
1215901533
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 951836
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CLEVELAND
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44193-0020
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-330-5523
Provider Business Mailing Address Fax Number:
412-330-5522

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2 ALLEGHENY CTR
Provider Second Line Business Practice Location Address:
6TH FLOOR
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15212-5402
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-330-5523
Provider Business Practice Location Address Fax Number:
412-330-5522
Provider Enumeration Date:
02/14/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
WALTEMIRE
Authorized Official First Name:
CINDY
Authorized Official Middle Name:
Authorized Official Title or Position:
MANAGED CARE SPECIALIST
Authorized Official Telephone Number:
412-330-5523

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RC0000X ; 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: 208000000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207R00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 0017600750028 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".