MEDICARE: KIDNEY & HYPERTENSION CENTER OF PITTSBURGH LLC

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	207RN0300X	Nephrology Physician

General Provider Information

NPI Number	:	1033852496
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KIDNEY & HYPERTENSION CENTER OF PITTSBURGH LLC

Provider Business Mailing Address
First Line	:	1633 CHURCH ST STE 500
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37203-2948
Country	:	US
Telephone Number	:	615-342-0498
Fax Number	:	615-963-9730

Provider Business Practice Location Address
First Line	:	151 PROFESSIONAL BLDG
Second Line	:	99 BUSS ROAD
City	:	ALIQUIPPA
State	:	PA
Zip	:	15001-4749
Country	:	US
Telephone Number	:	724-788-1539
Fax Number	:	724-788-1774

Authorized Official
Title or Position	:	PRESIDENT
Name	:	WILLIAM E WOOD II
Credential	:
Telephone Number	:	615-327-3061

Provider Enumeration Date	:	04/14/2022
Last Update Date	:	04/14/2022

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