Provider Demographics
NPI:1407873847
Name:STO-ROX NEIGHBORHOOD HEALTH COUNCIL, INC.
Entity Type:Organization
Organization Name:STO-ROX NEIGHBORHOOD HEALTH COUNCIL, INC.
Other - Org Name:HILLTOP COMMUNITY HEALTHCARE CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:LAGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-771-6462
Mailing Address - Street 1:317 CLIMAX STREET
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15210
Mailing Address - Country:US
Mailing Address - Phone:413-431-3520
Mailing Address - Fax:412-431-3525
Practice Address - Street 1:317 CLIMAX STREET
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15210
Practice Address - Country:US
Practice Address - Phone:413-431-3520
Practice Address - Fax:412-431-3525
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-15
Last Update Date:2008-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007778110007Medicaid
PA2005073Medicare PIN
PA1007778110007Medicaid