1932274768 NPI number — PRIMARY CARE HEALTH SERVICES INC.

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 1932274768 NPI number — PRIMARY CARE HEALTH SERVICES INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PRIMARY CARE HEALTH SERVICES 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:
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:
1932274768
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/29/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7227 HAMILTON 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:
15208-1814
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-244-4700
Provider Business Mailing Address Fax Number:
412-244-4992

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
300 RANKIN BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RANKIN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15104-1066
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-351-4555
Provider Business Practice Location Address Fax Number:
412-351-4184
Provider Enumeration Date:
11/20/2006

Additional Information

Authorized Official

Authorized Official Last Name:
PAYNE
Authorized Official First Name:
WILFORD
Authorized Official Middle Name:
A.
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
412-244-4700

Provider Taxonomy Codes

  • Taxonomy code: 261QF0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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