Healthcare Provider Details

I. General information

NPI: 1548511017
Provider Name (Legal Business Name): ALEGIS CARE - PENNSYLVANIA PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2012
Last Update Date: 07/26/2022
Certification Date: 09/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 PARK LN DRIVE
PITTSBURGH PA
15275
US

IV. Provider business mailing address

730 COOL SPRINGS BLVD STE 500
FRANKLIN TN
37067-7331
US

V. Phone/Fax

Practice location:
  • Phone: 773-292-4800
  • Fax: 312-564-4059
Mailing address:
  • Phone: 772-292-4800
  • Fax: 312-564-4059

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number207Q00000X
License Number StatePA

VIII. Authorized Official

Name: ROBYN CHANTELL COLLINS
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 312-262-2739