Organization Name: | WEST PENN ALLEGHENY HEALTH SYSTEM INC. |
NPI Number: | 1174539704 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RICK FRIES (INTERIM VP FINANCE) |
Mailing Address: | 763 Johnsonburg Rd Saint Marys |
State: | PA US |
Postal Code: | 158573417 |
Phone Number: | 8148345181 |
Fax Number: | 8148345182 |
NPI Enumeration Date: | 08/01/2006 |
NPI Last Update Date: | 06/01/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QE0700X |
License Number: | 530101 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | End-Stage Renal Disease (ESRD) Treatment |
Taxonomy Definition: |