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NPI Code Detail

MEDICARE: CANONSBURG GENERAL HOSPITAL

MEDICARE: CANONSBURG GENERAL HOSPITAL
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
1282N00000XGeneral Acute Care HospitalPA

General Provider Information

NPI Number : 1962401497
Entity Type Code : Organization
Provider Name (Legal Business Name) : CANONSBURG GENERAL HOSPITAL
Provider Business Mailing Address
First Line : 4 ALLEGHENY CENTER
Second Line : FOOR 10
City : PITTSBURGH
State : PA
Zip : 15212
Country : US
Telephone Number : 412-330-5040
Fax Number :
Provider Business Practice Location Address
First Line : 100 MEDICAL BOULEVARD
Second Line :
City : CANONSBURG
State : PA
Zip : 15317-9762
Country : US
Telephone Number : 724-745-3919
Fax Number :
Authorized Official
Title or Position : VP, FINANCE
Name : MR. RICK FRIES
Credential :
Telephone Number : 412-330-2472
Provider Enumeration Date : 07/18/2005
Last Update Date : 10/02/2020

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Directions to “CANONSBURG GENERAL HOSPITAL ” Practice Location

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