Provider Demographics
NPI:1528183993
Name:ALLEGHENY CHIROPRACTIC & REHABILITATION CENTER
Entity Type:Organization
Organization Name:ALLEGHENY CHIROPRACTIC & REHABILITATION CENTER
Other - Org Name:ALLEGHENY HEALTH & REHABILITATION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FINANCE COORDINATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MOELLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-443-7143
Mailing Address - Street 1:5499 WILLIAM FLYNN HWY
Mailing Address - Street 2:
Mailing Address - City:GIBSONIA
Mailing Address - State:PA
Mailing Address - Zip Code:15044-9675
Mailing Address - Country:US
Mailing Address - Phone:724-443-8444
Mailing Address - Fax:724-443-6963
Practice Address - Street 1:5499 WILLIAM FLYNN HWY
Practice Address - Street 2:
Practice Address - City:GIBSONIA
Practice Address - State:PA
Practice Address - Zip Code:15044-9675
Practice Address - Country:US
Practice Address - Phone:724-443-8444
Practice Address - Fax:724-443-6963
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA445094OtherHIGHMARK BLUE SHIELD
PAAL003483Medicare ID - Type UnspecifiedGROUP PROVIDER NUMBER