Healthcare Provider Details

I. General information

NPI: 1730335613
Provider Name (Legal Business Name): VA MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2008
Last Update Date: 08/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIVERSITY DRIVE C
PITTSBURGH PA
15240
US

IV. Provider business mailing address

717 SHERWOOD AVE
PITTSBURGH PA
15204-1723
US

V. Phone/Fax

Practice location:
  • Phone: 412-688-6000
  • Fax:
Mailing address:
  • Phone: 412-331-1625
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2865M2000X
TaxonomyMilitary General Acute Care Hospital
License NumberPN2611145L
License Number StatePA

VIII. Authorized Official

Name: MISS QADIRA FEATHERSTONE
Title or Position: LPN
Credential:
Phone: 412-688-6000