Provider Demographics
NPI:1518194653
Name:UPMC COMMUNITY PROVIDER SERVICES
Entity type:Organization
Organization Name:UPMC COMMUNITY PROVIDER SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:BIELICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-864-2687
Mailing Address - Street 1:1860 CENTRE AVE STE 5
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15219-4369
Mailing Address - Country:US
Mailing Address - Phone:412-328-4788
Mailing Address - Fax:412-246-2037
Practice Address - Street 1:4401 PENN AVE
Practice Address - Street 2:MAIN HOSPITAL FLOOR 1
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224-1334
Practice Address - Country:US
Practice Address - Phone:412-692-9200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UPMC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-06-16
Last Update Date:2024-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3336C0002X, 3336C0003X
PAPP4819173336C0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0002XSuppliersPharmacyClinic Pharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
3992244OtherNCPDP PROVIDER IDENTIFICATION NUMBER