Healthcare Provider Details

I. General information

NPI: 1285667493
Provider Name (Legal Business Name): WEST PENN ALLEGHENY HEALTH SYSTEM INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2006
Last Update Date: 10/02/2020
Certification Date: 10/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 E NORTH AVE
PITTSBURGH PA
15212-4756
US

IV. Provider business mailing address

4 ALLEGHENY CENTER FLOOR 10
PITTSBURGH PA
15212
US

V. Phone/Fax

Practice location:
  • Phone: 412-359-3131
  • Fax: 412-359-4108
Mailing address:
  • Phone: 412-330-5040
  • Fax: 412-359-4108

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QF0050X
TaxonomyNon-Surgical Family Planning Clinic/Center
License Number
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number530101
License Number StatePA

VIII. Authorized Official

Name: MR. RICK FRIES
Title or Position: VP FINANCE
Credential:
Phone: 412-330-2472