Provider Demographics
NPI:1669829834
Name:ALLEGHENY GENERAL HOSPITAL
Entity Type:Organization
Organization Name:ALLEGHENY GENERAL HOSPITAL
Other - Org Name:ALLEGHENY HEALTH NETWORK
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CRNP
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:GREEN
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:412-359-8870
Mailing Address - Street 1:305 MORAN RD
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16002-9205
Mailing Address - Country:US
Mailing Address - Phone:724-285-1188
Mailing Address - Fax:
Practice Address - Street 1:490 E NORTH AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15212-4740
Practice Address - Country:US
Practice Address - Phone:412-359-8870
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-18
Last Update Date:2016-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA363LF0000X282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital