MEDICARE: REFORMED PRESBYTERIAN WOMAN'S ASSOCIATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility		PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1505625	OTHER	PA	GATEWAY PROV. #
3	95225	OTHER	PA	THREE RIVERS PROV. #
4	208396	OTHER	PA	UPMC FOR U PROV.#
5	0218	OTHER	PA	BLUE CROSS PROV. #

General Provider Information

NPI Number	:	1023016037
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REFORMED PRESBYTERIAN WOMAN'S ASSOCIATION

Provider Business Mailing Address
First Line	:	2344 PERRYSVILLE AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15214-3560
Country	:	US
Telephone Number	:	412-321-4139
Fax Number	:	412-321-4661

Provider Business Practice Location Address
First Line	:	2344 PERRYSVILLE AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15214-3560
Country	:	US
Telephone Number	:	412-321-4139
Fax Number	:	412-321-4661

Authorized Official
Title or Position	:	CFO
Name	:	MR. WILLIAM J. WEIR
Credential	:
Telephone Number	:	412-321-4139

Provider Enumeration Date	:	07/13/2005
Last Update Date	:	08/22/2022

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Directions to “REFORMED PRESBYTERIAN WOMAN'S ASSOCIATION ” Practice Location

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