Healthcare Provider Details

I. General information

NPI: 1528183548
Provider Name (Legal Business Name): PITTSBURGH VA HEALTHCARE SYSTEMS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 UNIVERSITY DRIVE
PITTSBURGH PA
15240-3817
US

IV. Provider business mailing address

384 CAVAN DRIVE
PLEASANT HILLS PA
15236-4341
US

V. Phone/Fax

Practice location:
  • Phone: 412-688-8000
  • Fax:
Mailing address:
  • Phone: 412-650-8443
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code286500000X
TaxonomyMilitary Hospital
License NumberRN270028
License Number StatePA

VIII. Authorized Official

Name: CHARLENE M DAVID
Title or Position: CLINICAL NURSE SPECIALIST
Credential: APRN,BC
Phone: 412-688-8000