Healthcare Provider Details

I. General information

NPI: 1104831429
Provider Name (Legal Business Name): THE WESTERN PENNSYLVANIA HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4800 FRIENDSHIP AVE 3RD FLOOR WEST TOWER
PITTSBURGH PA
15224-1722
US

IV. Provider business mailing address

4800 FRIENDSHIP AVE 3RD FLOOR WEST TOWER
PITTSBURGH PA
15224-1722
US

V. Phone/Fax

Practice location:
  • Phone: 412-578-5858
  • Fax: 412-578-1529
Mailing address:
  • Phone: 412-578-5858
  • Fax: 412-578-1529

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: LYNN KOHL
Title or Position: MANAGER
Credential:
Phone: 412-578-1989