MEDICARE: ALLEGHENY CLINIC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician
2	207R00000X	Internal Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871929927
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLEGHENY CLINIC

Provider Business Mailing Address
First Line	:	4 ALLEGHENY CTR FL 7
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15212-5255
Country	:	US
Telephone Number	:	412-330-5861
Fax Number	:	412-330-5844

Provider Business Practice Location Address
First Line	:	1719 UNION AVE
Second Line	:	SUITE A
City	:	NATRONA HEIGHTS
State	:	PA
Zip	:	15065-2146
Country	:	US
Telephone Number	:	724-226-2128
Fax Number	:	724-226-2498

Authorized Official
Title or Position	:	PROVIDER ENROLLMENT SPECIALIST
Name	:	CINDY WALTEMIRE
Credential	:
Telephone Number	:	412-330-5864

Provider Enumeration Date	:	09/20/2013
Last Update Date	:	08/29/2023

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Directions to “ALLEGHENY CLINIC ” Practice Location

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