Healthcare Provider Details

I. General information

NPI: 1861657926
Provider Name (Legal Business Name): ALLEGHENY MEDICAL PRACTICE NETWORK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2008
Last Update Date: 08/21/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1744 GREENSBURG AVE
NORTH VERSAILLES PA
15137-1668
US

IV. Provider business mailing address

1744 GREENSBURG AVE
NORTH VERSAILLES PA
15137-1668
US

V. Phone/Fax

Practice location:
  • Phone: 412-823-2371
  • Fax: 412-824-9307
Mailing address:
  • Phone: 412-823-2371
  • Fax: 412-824-9307

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: CINDY WALTEMIRE
Title or Position: MANAGED CARE SPECIALIST
Credential:
Phone: 412-330-5523