Healthcare Provider Details

I. General information

NPI: 1184528762
Provider Name (Legal Business Name): EOS COMMUNITY HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1789 S BRADDOCK AVE
PITTSBURGH PA
15218-1842
US

IV. Provider business mailing address

1789 S BRADDOCK AVE
PITTSBURGH PA
15218-1842
US

V. Phone/Fax

Practice location:
  • Phone: 412-723-1741
  • Fax: 412-346-4319
Mailing address:
  • Phone: 412-723-1741
  • Fax: 412-346-4319

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: DAWN GILLIAM
Title or Position: CEO
Credential:
Phone: 412-723-1741