1497735161 NPI number — WEST HILLS MEDICAL PROVIDERS, INC.

Table of content: (NPI 1497735161)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497735161 NPI number — WEST HILLS MEDICAL PROVIDERS, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WEST HILLS MEDICAL PROVIDERS, 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:
1497735161
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/29/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
27 HECKEL RD
Provider Second Line Business Mailing Address:
SUITE 207
Provider Business Mailing Address City Name:
MC KEES ROCKS
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15136-1616
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-777-4319
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
27 HECKEL RD
Provider Second Line Business Practice Location Address:
SUITE 207
Provider Business Practice Location Address City Name:
MC KEES ROCKS
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15136-1616
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-777-4319
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/19/2006

Additional Information

Authorized Official

Authorized Official Last Name:
ARAVICH
Authorized Official First Name:
MONICA
Authorized Official Middle Name:
S.
Authorized Official Title or Position:
PRACTICE ADMINISTRATOR
Authorized Official Telephone Number:
412-777-4368

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , 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: 1506262 . This is a "GATEWAY HEALTH PLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 541171 . This is a "HIGHMARK BLUE SHIELD" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 0577185 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 217664 . This is a "HEALTH AMERICA" identifier . This identifiers is of the category "OTHER".
  • Identifier: CH8926 . This is a "RAILROAD MEDICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 000000099147 . This is a "UNISON HEALTH PLAN" identifier . This identifiers is of the category "OTHER".




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