Healthcare Provider Details

I. General information

NPI: 1891957510
Provider Name (Legal Business Name): VA PPITTSBURGH HEALTHCARE SYSTEM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2008
Last Update Date: 06/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIVERSITY DRIVE C
PITTSBURGH PA
15240
US

IV. Provider business mailing address

2111 BEECHWOOD RD
MONROEVILLE PA
15146-4201
US

V. Phone/Fax

Practice location:
  • Phone: 412-784-3804
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282E00000X
TaxonomyLong Term Care Hospital
License NumberRN527705L
License Number StatePA

VIII. Authorized Official

Name: MS. SUSAN PATRICIA CORRADO STEPHENSON
Title or Position: RN
Credential:
Phone: 412-913-7397