Provider Demographics
NPI:1558300103
Name:WASHINGTON HOSPITAL
Entity Type:Organization
Organization Name:WASHINGTON HOSPITAL
Other - Org Name:WASHINGTON CRITICAL CARE ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:M
Authorized Official - Last Name:KOLINER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:724-222-2577
Mailing Address - Street 1:56 S 21ST ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15203-1930
Mailing Address - Country:US
Mailing Address - Phone:412-381-5160
Mailing Address - Fax:412-381-5162
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:724-223-3005
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA848343OtherHIGHMARK
PA038258Medicare ID - Type UnspecifiedHGSADMINISTRATORS