Provider Demographics
NPI:1235384546
Name:ALLEGHENY HEALTH NETWORK HOME MEDICAL EQUIPMENT LLC
Entity Type:Organization
Organization Name:ALLEGHENY HEALTH NETWORK HOME MEDICAL EQUIPMENT LLC
Other - Org Name:KLINGENSMITH HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:FREDERICK
Authorized Official - Last Name:HARBAUGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-763-9947
Mailing Address - Street 1:404 FORD ST
Mailing Address - Street 2:
Mailing Address - City:FORD CITY
Mailing Address - State:PA
Mailing Address - Zip Code:16226-1230
Mailing Address - Country:US
Mailing Address - Phone:724-763-8889
Mailing Address - Fax:724-763-4284
Practice Address - Street 1:12311 PERRY HWY
Practice Address - Street 2:
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-8344
Practice Address - Country:US
Practice Address - Phone:800-272-3233
Practice Address - Fax:866-897-9557
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-01
Last Update Date:2023-01-24
Deactivation Date:2014-04-10
Deactivation Code:
Reactivation Date:2015-04-22
Provider Licenses
StateLicense IDTaxonomies
PA1000003241332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2109317OtherHIGHMARK BCBS
PA1007765000023Medicaid
OH0846357Medicaid
PA221076OtherHEALTHAMERICA
PA0196100011Medicare NSC