Provider Demographics
NPI:1629010137
Name:PRESBY HEALTH RESOURCE MANAGEMENT, INC
Entity Type:Organization
Organization Name:PRESBY HEALTH RESOURCE MANAGEMENT, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REIMBURSEMENT MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:JEANETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:FICARRI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-473-6727
Mailing Address - Street 1:1370 BEULAH RD
Mailing Address - Street 2:BUILDING 701
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15235-5068
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1370 BEULAH RD
Practice Address - Street 2:BUILDING 701
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15235-5068
Practice Address - Country:US
Practice Address - Phone:412-473-6920
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-11
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
1361OtherBLUE CROSS/BLUE SHIELD