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NPI Code Detail

MEDICARE: MERCY LIFE CENTER CORPORATION

MEDICARE: MERCY LIFE CENTER CORPORATION
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
1103T00000XPsychologist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1550856OTHERPAKHPW
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1467501312
Entity Type Code : Organization
Provider Name (Legal Business Name) : MERCY LIFE CENTER CORPORATION
Provider Business Mailing Address
First Line : 1200 REEDSDALE ST
Second Line :
City : PITTSBURGH
State : PA
Zip : 15233-2109
Country : US
Telephone Number : 412-323-8026
Fax Number : 412-323-4507
Provider Business Practice Location Address
First Line : 1200 REEDSDALE ST
Second Line :
City : PITTSBURGH
State : PA
Zip : 15233-2109
Country : US
Telephone Number : 412-323-8026
Fax Number : 412-323-4507
Authorized Official
Title or Position : EXECUTIVE ASISTANT
Name : CAROL FIFFAS
Credential :
Telephone Number : 412-323-4519
Provider Enumeration Date : 01/09/2007
Last Update Date : 08/22/2020

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Practice Location Address:
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1427045806 — CARRIE L BRUECKNER LSW
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1200 REEDSDALE ST
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1891782132 — MRS. MARY E TURNER LSW
Practice Location Address:
1200 REEDSDALE ST
PITTSBURGH, PA
15233-2109
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Practice Fax: 412-323-4507
1275514168 — JENNIFER L NEWMAN LCSW
Practice Location Address:
1200 REEDSDALE ST
PITTSBURGH, PA
15233-2109
Practice Phone: 412-697-3420
Practice Fax: 412-320-2378
1245213255 — COLEEN R HENKELMANN LMFT
Practice Location Address:
1200 REEDSDALE ST
PITTSBURGH, PA
15233-2109
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Practice Fax: 412-323-4507
1629181037 — DR. DUKE J RUKTANONCHAI M.D.
Practice Location Address:
1200 REEDSDALE ST
PITTSBURGH, PA
15233-2109
Practice Phone: 412-488-4040
Practice Fax: 412-488-4097

Directions to “MERCY LIFE CENTER CORPORATION ” Practice Location

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