Provider Demographics
NPI:1558305961
Name:UNIONTOWN HOSPITAL
Entity Type:Organization
Organization Name:UNIONTOWN HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR VP - CE0/CIO
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:P
Authorized Official - Last Name:HANDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-430-5081
Mailing Address - Street 1:500 W BERKELEY ST
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15401-5514
Mailing Address - Country:US
Mailing Address - Phone:724-430-5108
Mailing Address - Fax:724-430-3382
Practice Address - Street 1:500 W BERKELEY ST
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-5514
Practice Address - Country:US
Practice Address - Phone:724-430-5108
Practice Address - Fax:724-430-3382
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-15
Last Update Date:2023-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA470901273Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273Y00000XHospital UnitsRehabilitation Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1386OtherBLUECROSS PROVIDER NUMBER
PA39T041Medicare ID - Type UnspecifiedPROVIDER NUMBER