Healthcare Provider Details

I. General information

NPI: 1295647626
Provider Name (Legal Business Name): ALLEGHENY CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 OLD WASHINGTON RD STE 101
UPPER ST CLAIR PA
15241-2524
US

IV. Provider business mailing address

2600 OLD WASHINGTON RD STE 101
UPPER ST CLAIR PA
15241-2524
US

V. Phone/Fax

Practice location:
  • Phone: 724-941-5588
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DENISE NOEL
Title or Position: DIRECTOR PROVIDER ENROLLMENT
Credential:
Phone: 724-396-9664