Healthcare Provider Details

I. General information

NPI: 1346893369
Provider Name (Legal Business Name): ALLEGHENY CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2019
Last Update Date: 10/14/2020
Certification Date: 10/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 ALLEGHENY RIVER BLVD
OAKMONT PA
15139-1848
US

IV. Provider business mailing address

222 ALLEGHENY RIVER BLVD
OAKMONT PA
15139-1848
US

V. Phone/Fax

Practice location:
  • Phone: 412-767-5387
  • Fax: 412-828-5387
Mailing address:
  • Phone: 412-767-5387
  • Fax: 412-828-6642

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: ENROLLMENT SPECIALIST
Credential:
Phone: 412-330-5864