Provider Demographics
NPI:1780046284
Name:ALLEGHENY HEALTH NETWORK HOME INFUSION LLC
Entity Type:Organization
Organization Name:ALLEGHENY HEALTH NETWORK HOME INFUSION LLC
Other - Org Name:ALLEGHENY HEALTH NETWORK HOME INFUSION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:FREDERICK
Authorized Official - Last Name:HARBAUGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:249-548-6387
Mailing Address - Street 1:311 23RD STREET EXT # 500
Mailing Address - Street 2:
Mailing Address - City:SHARPSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15215-2821
Mailing Address - Country:US
Mailing Address - Phone:412-967-9399
Mailing Address - Fax:412-967-0663
Practice Address - Street 1:311 23RD STREET EXT # 500
Practice Address - Street 2:
Practice Address - City:SHARPSBURG
Practice Address - State:PA
Practice Address - Zip Code:15215-2821
Practice Address - Country:US
Practice Address - Phone:412-967-9399
Practice Address - Fax:412-967-0663
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-23
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336H0001X
PA333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2159666OtherPK
PA1007613480006Medicaid