1265448898 NPI number — WEST PENN ALLEGHENY HEALTH SYSTEM INC.

Table of content: (NPI 1265448898)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1265448898 NPI number — WEST PENN ALLEGHENY HEALTH SYSTEM INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WEST PENN ALLEGHENY HEALTH SYSTEM 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:
6
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:
1265448898
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/01/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
320 E NORTH AVE
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:
15212-4756
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-359-3131
Provider Business Mailing Address Fax Number:
412-359-4108

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
229 S KIMBERLY AVE
Provider Second Line Business Practice Location Address:
SUITE 100
Provider Business Practice Location Address City Name:
SOMERSET
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15501-2022
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-445-6127
Provider Business Practice Location Address Fax Number:
814-445-5627
Provider Enumeration Date:
08/01/2006

Additional Information

Authorized Official

Authorized Official Last Name:
FRIES
Authorized Official First Name:
RICK
Authorized Official Middle Name:
Authorized Official Title or Position:
INTERIM VP OF FINANCE
Authorized Official Telephone Number:
412-359-8550

Provider Taxonomy Codes

  • Taxonomy code: 261QE0700X , with the licence number:  530101 , 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: 1007277200102 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1007508630045 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com