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NPI Code Detail

MEDICARE: PRESSLEY RIDGE

MEDICARE: PRESSLEY RIDGE
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
1251S00000XCommunity/Behavioral Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548428386
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRESSLEY RIDGE
Provider Business Mailing Address
First Line : 530 MARSHALL AVE
Second Line :
City : PITTSBURGH
State : PA
Zip : 15214-3016
Country : US
Telephone Number : 412-321-6995
Fax Number : 412-321-7008
Provider Business Practice Location Address
First Line : 1450 INGHAM ST
Second Line :
City : PITTSBURGH
State : PA
Zip : 15212-2874
Country : US
Telephone Number : 412-321-6995
Fax Number : 412-321-7008
Authorized Official
Title or Position : SR ACCOUNTING DIRECTOR
Name : MS. BETH BLAIR
Credential :
Telephone Number : 412-321-6995
Provider Enumeration Date : 05/29/2008
Last Update Date : 06/09/2008

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1447486709 — LAURA L REESE
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Directions to “PRESSLEY RIDGE ” Practice Location

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