MEDICARE: UPMC AND THE WASHINGTON HOSPITAL URGENT CARE CENTERS,INC

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	207P00000X	Emergency Medicine Physician

General Provider Information

NPI Number	:	1497022198
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UPMC AND THE WASHINGTON HOSPITAL URGENT CARE CENTERS,INC

Provider Business Mailing Address
First Line	:	3515 WASHINGTON RD
Second Line	:	SUITE 550
City	:	MC MURRAY
State	:	PA
Zip	:	15317-3063
Country	:	US
Telephone Number	:	724-969-4321
Fax Number	:

Provider Business Practice Location Address
First Line	:	3515 WASHINGTON RD
Second Line	:	SUITE 550
City	:	MC MURRAY
State	:	PA
Zip	:	15317-3063
Country	:	US
Telephone Number	:	724-969-4321
Fax Number	:

Authorized Official
Title or Position	:	SR.DIRCECTOR
Name	:	MR. MARK EHALT
Credential	:
Telephone Number	:	412-647-0943

Provider Enumeration Date	:	11/23/2011
Last Update Date	:	11/23/2011

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