1710973599 NPI number — META-HILBERG HEMATOLOGY ONCOLOGY ASSOC

Table of content: (NPI 1710973599)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1710973599 NPI number — META-HILBERG HEMATOLOGY ONCOLOGY ASSOC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
META-HILBERG HEMATOLOGY ONCOLOGY ASSOC
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:
1710973599
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/11/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
500 HOSPITAL WAY
Provider Second Line Business Mailing Address:
PAINTER BUILDING
Provider Business Mailing Address City Name:
MCKEESPORT
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15132-2004
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-673-4453
Provider Business Mailing Address Fax Number:
412-673-1114

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
500 HOSPITAL WAY
Provider Second Line Business Practice Location Address:
PAINTER BUILDING
Provider Business Practice Location Address City Name:
MCKEESPORT
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15132-2004
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-673-4453
Provider Business Practice Location Address Fax Number:
412-673-1114
Provider Enumeration Date:
09/27/2005

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
META
Authorized Official First Name:
LOUIS
Authorized Official Middle Name:
DAVID
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
412-673-4453

Provider Taxonomy Codes

  • Taxonomy code: 207RH0003X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 1007689010003 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 112856 . This is a "HIGHMARK BC/BS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2301702 . This is a "AETNA/USHC" identifier . This identifiers is of the category "OTHER".