Healthcare Provider Details

I. General information

NPI: 1447236005
Provider Name (Legal Business Name): UPMC JAMESON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2005
Last Update Date: 11/27/2023
Certification Date: 10/22/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1211 WILMINGTON AVE
NEW CASTLE PA
16105-2516
US

IV. Provider business mailing address

600 GRANT STREET, US STEEL TOWER, 59TH FLOOR C/O RENEE JOHNSON
PITTSBURGH PA
15219-2740
US

V. Phone/Fax

Practice location:
  • Phone: 724-656-4029
  • Fax: 724-656-4172
Mailing address:
  • Phone: 412-623-6303
  • Fax: 412-623-6369

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273Y00000X
TaxonomyRehabilitation Hospital Unit
License Number101201
License Number StatePA

VIII. Authorized Official

Name: MR. BRIAN FRITZ
Title or Position: CFO
Credential:
Phone: 412-748-6354