Provider Demographics
NPI:1477678811
Name:WASHINGTON HOSPITAL
Entity Type:Organization
Organization Name:WASHINGTON HOSPITAL
Other - Org Name:WASHINGTON HOSPITAL CRNA'S
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT FINANCE, CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:W
Authorized Official - Last Name:RONEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-223-3005
Mailing Address - Street 1:155 WILSON AVE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-3336
Mailing Address - Country:US
Mailing Address - Phone:724-225-7000
Mailing Address - Fax:
Practice Address - Street 1:155 WILSON AVE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-3336
Practice Address - Country:US
Practice Address - Phone:724-225-7000
Practice Address - Fax:724-250-2805
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WASHINGTON HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-03-21
Last Update Date:2008-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA230201367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA025542M50Medicare PIN
PA025542Medicare PIN