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NPI Code Detail

MEDICARE: CRANBERRY PLACE

MEDICARE: CRANBERRY PLACE
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
1313M00000XNursing Facility/Intermediate Care Facility381602PA
2314000000XSkilled Nursing Facility381602PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1V0828AOTHERUPMC HEALTH PLAN
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
31826OTHERHIGHMARK BLUE CROSS

General Provider Information

NPI Number : 1982708459
Entity Type Code : Organization
Provider Name (Legal Business Name) : CRANBERRY PLACE
Provider Business Mailing Address
First Line : 200 LOTHROP ST STE 10097
Second Line :
City : PITTSBURGH
State : PA
Zip : 15213-2536
Country : US
Telephone Number : 412-864-3532
Fax Number : 412-864-3554
Provider Business Practice Location Address
First Line : 5 SAINT FRANCIS WAY
Second Line :
City : CRANBERRY TOWNSHIP
State : PA
Zip : 16066-5119
Country : US
Telephone Number : 724-772-5350
Fax Number : 724-772-5356
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : MR. WILLIAM ANTHONY NIGRO
Credential : CPA
Telephone Number : 412-864-3532
Provider Enumeration Date : 09/12/2006
Last Update Date : 09/10/2020

Similar Medicare Providers

1538707203 — DR. SUMMER LYNN DUNLAP DNP, CRNA
Practice Location Address:
1 SAINT FRANCIS WAY
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16066-5119
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1548241110 — CONNIE COBLE-ROE CRNP
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1821047598 — JOHN REISER
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Practice Fax:
1356445126 — BIO-MEDICAL APPLICATIONS OF PENNSYLVANIA, INC.
Practice Location Address:
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1366501843 — LINDSEY S MONAHAN
Practice Location Address:
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Practice Fax:
1194937540 — MS. JUDITH LYNN DALESSANDRO
Practice Location Address:
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Practice Fax:

Directions to “CRANBERRY PLACE ” Practice Location

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