Healthcare Provider Details
I. General information
NPI: 1326120908
Provider Name (Legal Business Name): ST. CLAIR MEMORIAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/20/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1000 BOWER HILL RD SUITE 200
PITTSBURGH PA
15243-1873
US
IV. Provider business mailing address
1000 BOWER HILL RD SUITE 200
PITTSBURGH PA
15243-1873
US
V. Phone/Fax
- Phone: 412-344-6600
- Fax: 412-572-6923
- Phone: 412-344-6600
- Fax: 412-572-6923
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332BP3500X |
| Taxonomy | Parenteral & Enteral Nutrition Supplies (DME) |
| License Number | PP415531L |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336H0001X |
| Taxonomy | Home Infusion Therapy Pharmacy |
| License Number | PP415531L |
| License Number State | PA |
VIII. Authorized Official
Name:
RICHARD
L.
ALLEN
Title or Position: ADMINISTRATIVE VICE PRESIDENT
Credential:
Phone: 412-344-6600