Healthcare Provider Details
I. General information
NPI: 1558515981
Provider Name (Legal Business Name): ADAGIO HEALTH INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/12/2008
Last Update Date: 11/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
960 PENN AVE SUITE 600
PITTSBURGH PA
15222-3818
US
IV. Provider business mailing address
960 PENN AVE SUITE 600
PITTSBURGH PA
15222-3818
US
V. Phone/Fax
- Phone: 412-288-2130
- Fax:
- Phone: 412-288-2130
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 176B00000X |
| Taxonomy | Midwife |
| License Number | |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DEBORA
WOOD
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 412-288-2130