1891701421 NPI number — ALLEGHENY GENERAL HOSPITAL

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1891701421 NPI number — ALLEGHENY GENERAL HOSPITAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALLEGHENY GENERAL HOSPITAL
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:
1891701421
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:
11676 PERRY HWY
Provider Second Line Business Practice Location Address:
SUITE 2201 WEXFORD PROFESSIONAL BUILDING II
Provider Business Practice Location Address City Name:
WEXFORD
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15090-7201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-395-3200
Provider Business Practice Location Address Fax Number:
724-934-0140
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 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: 1007508630045 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".




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