1295265536 NPI number — STEEL VALLEY WELLNESS GROUP

Table of content: (NPI 1295265536)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1295265536 NPI number — STEEL VALLEY WELLNESS GROUP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
STEEL VALLEY WELLNESS GROUP
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:
1295265536
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/16/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3212 MAIN ST
Provider Second Line Business Mailing Address:
FLOOR 1
Provider Business Mailing Address City Name:
HOMESTEAD
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15120-3230
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-368-3535
Provider Business Mailing Address Fax Number:
412-132-6021

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3212 MAIN ST
Provider Second Line Business Practice Location Address:
FLOOR 1
Provider Business Practice Location Address City Name:
HOMESTEAD
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15120-3230
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-368-3535
Provider Business Practice Location Address Fax Number:
412-326-0210
Provider Enumeration Date:
06/19/2017

Additional Information

Authorized Official

Authorized Official Last Name:
FEDORIS
Authorized Official First Name:
MELINDA
Authorized Official Middle Name:
S
Authorized Official Title or Position:
CFOUNDER/COOWNER
Authorized Official Telephone Number:
412-368-3535

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  PC008830 , 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)





Copyright © 2007-2025 www.npivalidator.com