Provider Demographics
NPI:1164555785
Name:CENTER POINTE SLEEP ASSOCIATES, LLC
Entity Type:Organization
Organization Name:CENTER POINTE SLEEP ASSOCIATES, LLC
Other - Org Name:MCMURRAY SLEEP CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:KELLI
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:BS, RRT
Authorized Official - Phone:724-941-6595
Mailing Address - Street 1:1830 UNION AVE STE B
Mailing Address - Street 2:
Mailing Address - City:NATRONA HEIGHTS
Mailing Address - State:PA
Mailing Address - Zip Code:15065-2201
Mailing Address - Country:US
Mailing Address - Phone:724-941-6595
Mailing Address - Fax:724-941-8694
Practice Address - Street 1:453 VALLEY BROOK ROAD
Practice Address - Street 2:SUITE 400
Practice Address - City:MCMURRAY
Practice Address - State:PA
Practice Address - Zip Code:15317-3371
Practice Address - Country:US
Practice Address - Phone:724-941-6595
Practice Address - Fax:724-941-6595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2019-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA174400000X
261QS1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
No174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA076104Medicare PIN
PA076104Medicare UPIN