Healthcare Provider Details

I. General information

NPI: 1306868906
Provider Name (Legal Business Name): ST CLAIR HEALTH VENTURES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 BOWER HILL RD
PITTSBURGH PA
15243-1873
US

IV. Provider business mailing address

1000 BOWER HILL RD
PITTSBURGH PA
15243-1873
US

V. Phone/Fax

Practice location:
  • Phone: 866-248-4500
  • Fax: 412-572-6984
Mailing address:
  • Phone: 866-248-4500
  • Fax: 412-572-6984

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. VIRGINIA M GOLDBACH
Title or Position: VP, CFO
Credential:
Phone: 866-248-4500