Healthcare Provider Details

I. General information

NPI: 1619626827
Provider Name (Legal Business Name): WEXFORD HEALTH SOURCES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2022
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 HOLIDAY DRIVE SUITE 300
PITTSBURGH PA
15220-2749
US

IV. Provider business mailing address

501 HOLIDAY DRIVE SUITE 300
PITTSBURGH PA
15220-2749
US

V. Phone/Fax

Practice location:
  • Phone: 412-937-8590
  • Fax: 412-937-8599
Mailing address:
  • Phone: 412-937-8590
  • Fax: 412-937-8599

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2400X
TaxonomyPrison Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. JOHN M. FROEHLICH
Title or Position: SENIOR VP & CHIEF FINANCIAL OFFICER
Credential:
Phone: 412-937-8590