Provider Demographics
NPI:1275993297
Name:ALLEGHNEY HEALTH CLINIC
Entity Type:Organization
Organization Name:ALLEGHNEY HEALTH CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HAHALYAK
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:724-765-1030
Mailing Address - Street 1:7546 STATE ROUTE 30
Mailing Address - Street 2:FIRST FLOOR
Mailing Address - City:IRWIN
Mailing Address - State:PA
Mailing Address - Zip Code:15642-8808
Mailing Address - Country:US
Mailing Address - Phone:724-765-1030
Mailing Address - Fax:724-765-1023
Practice Address - Street 1:7546 STATE ROUTE 30
Practice Address - Street 2:FIRST FLOOR
Practice Address - City:IRWIN
Practice Address - State:PA
Practice Address - Zip Code:15642-7528
Practice Address - Country:US
Practice Address - Phone:724-765-1030
Practice Address - Fax:724-765-1023
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-03
Last Update Date:2016-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS 004995L302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization