Provider Demographics
NPI:1821485442
Name:ALLEGHENY HEALTH NETWORK SURGERY CENTER - BETHEL PARK, LLC
Entity Type:Organization
Organization Name:ALLEGHENY HEALTH NETWORK SURGERY CENTER - BETHEL PARK, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT &CEO, AHN
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:W
Authorized Official - Last Name:PAUL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-330-2466
Mailing Address - Street 1:990 HIGBEE DR
Mailing Address - Street 2:
Mailing Address - City:BETHEL PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15102-2989
Mailing Address - Country:US
Mailing Address - Phone:412-854-7910
Mailing Address - Fax:412-854-7929
Practice Address - Street 1:990 HIGBEE DR
Practice Address - Street 2:
Practice Address - City:BETHEL PARK
Practice Address - State:PA
Practice Address - Zip Code:15102-2989
Practice Address - Country:US
Practice Address - Phone:412-854-7910
Practice Address - Fax:412-854-7929
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-21
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA23921501261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical