Healthcare Provider Details

I. General information

NPI: 1386929420
Provider Name (Legal Business Name): ST. CLAIR MEDICAL SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2011
Last Update Date: 10/05/2021
Certification Date: 10/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

717 WASHINGTON RD
PITTSBURGH PA
15228-2001
US

IV. Provider business mailing address

1000 BOWER HILL RD ST CLAIR HOSPITAL - AFFILIATE BILLING - PAMALYN
PITTSBURGH PA
15243-1873
US

V. Phone/Fax

Practice location:
  • Phone: 412-341-7887
  • Fax: 412-341-1479
Mailing address:
  • Phone: 412-942-2672
  • Fax: 412-942-2689

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: PAMALYN PATNESKY
Title or Position: CREDENTAILING
Credential:
Phone: 412-942-2548