Provider Demographics
NPI:1942697032
Name:MOUNT CARMEL HEALTH SYSTEM
Entity Type:Organization
Organization Name:MOUNT CARMEL HEALTH SYSTEM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LILLIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BADURINA
Authorized Official - Suffix:
Authorized Official - Credentials:C-TAGME
Authorized Official - Phone:614-234-5983
Mailing Address - Street 1:1430 SUMMIT ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15221-2632
Mailing Address - Country:US
Mailing Address - Phone:970-690-0258
Mailing Address - Fax:
Practice Address - Street 1:1430 SUMMIT ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15221-2632
Practice Address - Country:US
Practice Address - Phone:970-690-0258
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-16
Last Update Date:2015-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital