Provider Demographics
NPI:1083720429
Name:MONTOUR FAMILY HEALTHCARE
Entity Type:Organization
Organization Name:MONTOUR FAMILY HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:PETER
Authorized Official - Last Name:FALKENSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:412-722-0102
Mailing Address - Street 1:1000 CLIFFMINE ROAD
Mailing Address - Street 2:PARK WEST ONE SUITE 110
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15275
Mailing Address - Country:US
Mailing Address - Phone:412-722-0102
Mailing Address - Fax:412-722-0106
Practice Address - Street 1:1000 CLIFFMINE ROAD
Practice Address - Street 2:PARK WEST ONE SUITE 110
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15275
Practice Address - Country:US
Practice Address - Phone:412-722-0102
Practice Address - Fax:412-722-0106
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty