Provider Demographics
NPI:1568986073
Name:UPMC COMMUNITY MEDICINE, INC.
Entity Type:Organization
Organization Name:UPMC COMMUNITY MEDICINE, INC.
Other - Org Name:HICKORY INTERNAL MEDICINE-UPMC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:DEVLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-432-7469
Mailing Address - Street 1:875 N HERMITAGE RD STE 4
Mailing Address - Street 2:
Mailing Address - City:HERMITAGE
Mailing Address - State:PA
Mailing Address - Zip Code:16148-3278
Mailing Address - Country:US
Mailing Address - Phone:724-347-4816
Mailing Address - Fax:724-342-4310
Practice Address - Street 1:875 N HERMITAGE RD STE 4
Practice Address - Street 2:
Practice Address - City:HERMITAGE
Practice Address - State:PA
Practice Address - Zip Code:16148-3278
Practice Address - Country:US
Practice Address - Phone:724-347-4816
Practice Address - Fax:724-342-4310
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty