Provider Demographics
NPI:1639215791
Name:PCT HEALTH NETWORK, INC.
Entity Type:Organization
Organization Name:PCT HEALTH NETWORK, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PEK
Authorized Official - Middle Name:CHIEW
Authorized Official - Last Name:TEH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:724-658-5456
Mailing Address - Street 1:3121 WILMINGTON RD STE 1
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16105-1161
Mailing Address - Country:US
Mailing Address - Phone:724-658-5456
Mailing Address - Fax:724-658-3039
Practice Address - Street 1:3121 WILMINGTON RD STE 1
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16105-1161
Practice Address - Country:US
Practice Address - Phone:724-658-5456
Practice Address - Fax:724-658-3039
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD038197L207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1015318800001Medicaid
PA409265OtherHEALTH AMERICA ASSURANCE
PA099608Medicare ID - Type Unspecified
PA1015318800001Medicaid