Provider Demographics
NPI:1295995298
Name:BECHTEL BETTIS, INC.
Entity type:Organization
Organization Name:BECHTEL BETTIS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:S
Authorized Official - Last Name:GOLDSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD, MPH
Authorized Official - Phone:412-476-6044
Mailing Address - Street 1:PO BOX 79
Mailing Address - Street 2:
Mailing Address - City:WEST MIFFLIN
Mailing Address - State:PA
Mailing Address - Zip Code:15122-0079
Mailing Address - Country:US
Mailing Address - Phone:412-476-6044
Mailing Address - Fax:412-476-6466
Practice Address - Street 1:814 PITTSBURGH MCKEESPORT BLVD
Practice Address - Street 2:
Practice Address - City:WEST MIFFLIN
Practice Address - State:PA
Practice Address - Zip Code:15122-2849
Practice Address - Country:US
Practice Address - Phone:412-476-6044
Practice Address - Fax:412-476-6466
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-12
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine