1346281243 NPI number — UPMC/JEFFERSON REGIONAL HOME HEALTH LP.

Table of content: (NPI 1346281243)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1346281243 NPI number — UPMC/JEFFERSON REGIONAL HOME HEALTH LP.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UPMC/JEFFERSON REGIONAL HOME HEALTH LP.
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:
1346281243
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/05/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
300 NORTHPOINTE CIR
Provider Second Line Business Mailing Address:
NORTHPOINT CENTER III 2ND FLOOR
Provider Business Mailing Address City Name:
SEVEN FIELDS
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
16046-7862
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
724-778-4663
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
300 NORTHPOINTE CIR
Provider Second Line Business Practice Location Address:
NORTHPOINT CENTER III 2ND FLOOR
Provider Business Practice Location Address City Name:
SEVEN FIELDS
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16046-7862
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-778-4663
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/10/2006

Additional Information

Authorized Official

Authorized Official Last Name:
LOMBARDO
Authorized Official First Name:
CHRISTINE
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR OF REIMBURSEMENT AND COMPL
Authorized Official Telephone Number:
724-778-4605

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  763605 , 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: 0983 . This is a "HIGHMARK BLUE CROSS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1507025 . This is a "UNITED MINE WORKERS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 650876600 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1626744A01 . This is a "UPMC FOR YOU" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1025452 . This is a "GATEWAY HEALTH PLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1864015002 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1738684 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: HH0002 , issued by the state of ( SC ) . This identifiers is of the category "MEDICAID".




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