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	207R00000X	Internal Medicine Physician
2	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	:	1922073915
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLEGHENY MEDICAL PRACTICE NETWORK

Provider Business Mailing Address
First Line	:	133 CHURCH HILL ROAD
Second Line	:	SUITE 2A
City	:	MC KEES ROCKS
State	:	PA
Zip	:	15136-1516
Country	:	US
Telephone Number	:	412-722-1003
Fax Number	:	412-722-1024

Provider Business Practice Location Address
First Line	:	133 CHURCH HILL ROAD
Second Line	:	SUITE 2A
City	:	MC KEES ROCKS
State	:	PA
Zip	:	15136-1516
Country	:	US
Telephone Number	:	412-722-1003
Fax Number	:	412-722-1024

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

Provider Enumeration Date	:	02/22/2006
Last Update Date	:	10/16/2007

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Directions to “ALLEGHENY MEDICAL PRACTICE NETWORK ” Practice Location

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