Healthcare Provider Details
I. General information
NPI: 1609886266
Provider Name (Legal Business Name): UPMC ST MARGARET TRANSTL
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/08/2006
Last Update Date: 08/18/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
815 FREEPORT RD
PITTSBURGH PA
15215-3301
US
IV. Provider business mailing address
PO BOX 382007
PITTSBURGH PA
15250-8007
US
V. Phone/Fax
- Phone: 412-432-5500
- Fax:
- Phone: 412-432-5500
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
| # 1 | |
| Identifier | 1109 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | HIGHMARK PROVIDER NUMBER |
VIII. Authorized Official
Name: MR.
THOMAS
M
NEWMAN
Title or Position: VP FINANCAE/CFO
Credential: CFO
Phone: 412-784-4325