Provider Demographics
NPI:1215598156
Name:AHN EMERUS WESTMORELAND LLC
Entity Type:Organization
Organization Name:AHN EMERUS WESTMORELAND LLC
Other - Org Name:AHN BRENTWOOD NEIGHBORHOOD HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SR MED STAFF AND PROVIDER ENROLLMEN
Authorized Official - Prefix:
Authorized Official - First Name:TINA
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-637-1146
Mailing Address - Street 1:8686 NEW TRAILS DR STE 100
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77381-1176
Mailing Address - Country:US
Mailing Address - Phone:281-292-2450
Mailing Address - Fax:
Practice Address - Street 1:3290 SAW MILL RUN BLVD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15227-2318
Practice Address - Country:US
Practice Address - Phone:281-292-2450
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-21
Last Update Date:2020-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA390333OtherMEDICARE
PA103788819-003Medicaid