MEDICARE: ALLEGHENY MEDICAL PRACTICE NETWORK

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	207Q00000X	Family Medicine Physician

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

General Provider Information

NPI Number	:	1568628741
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLEGHENY MEDICAL PRACTICE NETWORK

Provider Business Mailing Address
First Line	:	201 S JOHNSON RD
Second Line	:
City	:	HOUSTON
State	:	PA
Zip	:	15342-1351
Country	:	US
Telephone Number	:	724-873-8740
Fax Number	:	724-873-8745

Provider Business Practice Location Address
First Line	:	201 S JOHNSON RD
Second Line	:
City	:	HOUSTON
State	:	PA
Zip	:	15342-1351
Country	:	US
Telephone Number	:	724-873-8740
Fax Number	:	724-873-8745

Authorized Official
Title or Position	:	MANAGED CARE SPECIALIST
Name	:	CINDY WALTEMIRE
Credential	:
Telephone Number	:	412-330-5523

Provider Enumeration Date	:	08/06/2008
Last Update Date	:	03/11/2009

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Directions to “ALLEGHENY MEDICAL PRACTICE NETWORK ” Practice Location

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