Provider Demographics
NPI:1235105842
Name:WEST PENN COMPREHENSIVE HEALTH CARE
Entity Type:Organization
Organization Name:WEST PENN COMPREHENSIVE HEALTH CARE
Other - Org Name:CENTURY MEDICAL ASSOCIATES, INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGED CARE SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:MONPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-330-4836
Mailing Address - Street 1:535 SMITHFIELD ST
Mailing Address - Street 2:SUITE 1030
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15222-2393
Mailing Address - Country:US
Mailing Address - Phone:412-281-7394
Mailing Address - Fax:412-281-2030
Practice Address - Street 1:535 SMITHFIELD ST
Practice Address - Street 2:SUITE 1030
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15222-2393
Practice Address - Country:US
Practice Address - Phone:412-281-7394
Practice Address - Fax:412-281-2030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA769513Medicare ID - Type Unspecified