Provider Demographics
NPI:1760599344
Name:WEST PENN ALLEGHENY HEALTH SYSTEM INC.
Entity Type:Organization
Organization Name:WEST PENN ALLEGHENY HEALTH SYSTEM INC.
Other - Org Name:THE WESTERN PENNSYLVANIA HOSPITAL - REHAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT, FINANCE
Authorized Official - Prefix:MR
Authorized Official - First Name:RICK
Authorized Official - Middle Name:
Authorized Official - Last Name:FRIES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-330-2472
Mailing Address - Street 1:4 ALLEGHENY CENTER
Mailing Address - Street 2:FLOOR 10
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15212
Mailing Address - Country:US
Mailing Address - Phone:412-330-5040
Mailing Address - Fax:412-578-1296
Practice Address - Street 1:4800 FRIENDSHIP AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224-1722
Practice Address - Country:US
Practice Address - Phone:412-578-5000
Practice Address - Fax:412-578-1296
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE WESTERN PENNSYLVANIA HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-08-23
Last Update Date:2020-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA234401273Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273Y00000XHospital UnitsRehabilitation Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA39T090Medicare Oscar/Certification