Healthcare Provider Details

I. General information

NPI: 1780046284
Provider Name (Legal Business Name): ALLEGHENY HEALTH NETWORK HOME INFUSION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2016
Last Update Date: 09/18/2023
Certification Date: 09/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 23RD STREET EXT # 500
SHARPSBURG PA
15215-2821
US

IV. Provider business mailing address

311 23RD STREET EXT # 500
SHARPSBURG PA
15215-2821
US

V. Phone/Fax

Practice location:
  • Phone: 412-967-9399
  • Fax: 412-967-0663
Mailing address:
  • Phone: 412-967-9399
  • Fax: 412-967-0663

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: PAUL FREDERICK HARBAUGH
Title or Position: PRESIDENT
Credential:
Phone: 249-548-6387