Healthcare Provider Details

I. General information

NPI: 1790871226
Provider Name (Legal Business Name): WEST PENN ALLEGHENY HEALTH SYSTEM, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 12/15/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4800 FRIENDSHIP AVE
PITTSBURGH PA
15224-1722
US

IV. Provider business mailing address

4800 FRIENDSHIP AVE
PITTSBURGH PA
15224-1722
US

V. Phone/Fax

Practice location:
  • Phone: 412-325-7200
  • Fax: 412-578-7373
Mailing address:
  • Phone: 412-325-7200
  • Fax: 412-578-7373

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number150499
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code315D00000X
TaxonomyInpatient Hospice
License Number150499
License Number StatePA

VIII. Authorized Official

Name: MARYANNE FELLO
Title or Position: DIRECTOR
Credential: R.N.
Phone: 412-578-6788