Provider Demographics
NPI:1528183548
Name:PITTSBURGH VA HEALTHCARE SYSTEMS
Entity Type:Organization
Organization Name:PITTSBURGH VA HEALTHCARE SYSTEMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL NURSE SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:CHARLENE
Authorized Official - Middle Name:M
Authorized Official - Last Name:DAVID
Authorized Official - Suffix:
Authorized Official - Credentials:APRN,BC
Authorized Official - Phone:412-688-8000
Mailing Address - Street 1:384 CAVAN DRIVE
Mailing Address - Street 2:
Mailing Address - City:PLEASANT HILLS
Mailing Address - State:PA
Mailing Address - Zip Code:15236-4341
Mailing Address - Country:US
Mailing Address - Phone:412-650-8443
Mailing Address - Fax:
Practice Address - Street 1:1 UNIVERSITY DRIVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15240-3817
Practice Address - Country:US
Practice Address - Phone:412-688-8000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN270028286500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes286500000XHospitalsMilitary Hospital