=====================================================
General NPI Number Information
=====================================================
NPI Number | 1346293917
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SISTERS OF ST. FRANCIS OF MILLVALE
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/17/2006
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 146 HAWTHORNE RD
-----------------------------------------------------
City | PITTSBURGH
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15209-1916
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 412-821-2200
-----------------------------------------------------
Fax | 412-821-3318
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 146 HAWTHORNE RD
-----------------------------------------------------
City | PITTSBURGH
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15209-1916
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 412-821-2200
-----------------------------------------------------
Fax | 412-821-3318
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | COUNCIL LIAISON
-----------------------------------------------------
Name | SISTER LORRAINE WESOLOWSKI
-----------------------------------------------------
Credential | SISTER
-----------------------------------------------------
Telephone | 412-821-2299
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332900000X
-----------------------------------------------------
Taxonomy Name | Non-Pharmacy Dispensing Site
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------