MEDICARE: UPMC BEHAVIORAL HEALTH OF THE ALLEGHENIES

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	251S00000X	Community/Behavioral Health Agency	321210	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	263087	OTHER	PA	HIGHMARK AND PA BLUE SHIE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	1652320	OTHER	PA	HIGHMARK BLUE CARD

General Provider Information

NPI Number	:	1922173186
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UPMC BEHAVIORAL HEALTH OF THE ALLEGHENIES

Provider Business Mailing Address
First Line	:	500 E CHESTNUT AVE
Second Line	:
City	:	ALTOONA
State	:	PA
Zip	:	16601-5215
Country	:	US
Telephone Number	:	814-940-7457
Fax Number	:	814-569-1019

Provider Business Practice Location Address
First Line	:	400 LAKEMONT PARK BLVD
Second Line	:	SUITE 100 CAPH
City	:	ALTOONA
State	:	PA
Zip	:	16602-5967
Country	:	US
Telephone Number	:	814-946-0261
Fax Number	:	814-569-1189

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR, BEHAVIORAL HEAL
Name	:	MARK CHUFF
Credential	:
Telephone Number	:	814-940-7457

Provider Enumeration Date	:	11/22/2006
Last Update Date	:	11/02/2018

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Directions to “UPMC BEHAVIORAL HEALTH OF THE ALLEGHENIES ” Practice Location

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