Healthcare Provider Details
I. General information
NPI: 1437745627
Provider Name (Legal Business Name): ALLIED COMMUNITY HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/12/2020
Last Update Date: 06/24/2024
Certification Date: 06/24/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4307 MURRAY AVE
PITTSBURGH PA
15217-2905
US
IV. Provider business mailing address
4307 MURRAY AVE
PITTSBURGH PA
15217-2905
US
V. Phone/Fax
- Phone: 412-336-8665
- Fax:
- Phone: 412-368-2817
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 291U00000X |
| Taxonomy | Clinical Medical Laboratory |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 364S00000X |
| Taxonomy | Clinical Nurse Specialist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 246YC3302X |
| Taxonomy | Physician Office Based Coding Specialist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CECIA
JOHNELLE
POWELL
Title or Position: ADMINISTRATOR
Credential:
Phone: 412-368-2817