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NPI Code Detail

MEDICARE: COUNTY OF ALLEGHENY

MEDICARE: COUNTY OF ALLEGHENY
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
1314000000XSkilled Nursing Facility364902PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1639169501
Entity Type Code : Organization
Provider Name (Legal Business Name) : COUNTY OF ALLEGHENY
Provider Business Mailing Address
First Line : 955 RIVERMONT DR
Second Line : ATTN: CHIEF FISCAL OFFICER
City : PITTSBURGH
State : PA
Zip : 15207-1347
Country : US
Telephone Number : 412-422-6074
Fax Number : 412-422-6966
Provider Business Practice Location Address
First Line : 300 KANE BLVD
Second Line :
City : PITTSBURGH
State : PA
Zip : 15243-1430
Country : US
Telephone Number : 412-422-6050
Fax Number : 412-422-6966
Authorized Official
Title or Position : CFO
Name : MR. DAVID C POLINAK
Credential :
Telephone Number : 412-422-6050
Provider Enumeration Date : 10/24/2005
Last Update Date : 12/18/2019

Similar Medicare Providers

1942396098 — DR. LAWRENCE RAYMOND SUTTON PH.D.
Practice Location Address:
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Practice Phone: 412-531-1776
Practice Fax: 412-531-1776
1194012062 — MRS. JENNIFER SUZANNE WEISMANTLE MPT
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1003103078 — ALLISON BIENIO
Practice Location Address:
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Practice Fax:
1013761659 — TAMMY MICHELLE JOYCE
Practice Location Address:
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Practice Fax:
1003660275 — MELISSA ANN GALLERANI
Practice Location Address:
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Practice Fax:
1164276051 — TARAS DAVYDA
Practice Location Address:
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Directions to “COUNTY OF ALLEGHENY ” Practice Location

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