Provider Demographics
NPI:1750554119
Name:ALLEGHENY MEDICAL PRACTICE NETWORK
Entity type:Organization
Organization Name:ALLEGHENY MEDICAL PRACTICE NETWORK
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGED CARE SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:WALTEMIRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-330-5523
Mailing Address - Street 1:7546 ROUTE 30
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:IRWIN
Mailing Address - State:PA
Mailing Address - Zip Code:15642-7528
Mailing Address - Country:US
Mailing Address - Phone:724-765-1031
Mailing Address - Fax:724-765-1035
Practice Address - Street 1:7546 ROUTE 30
Practice Address - Street 2:1ST FLOOR
Practice Address - City:IRWIN
Practice Address - State:PA
Practice Address - Zip Code:15642-7528
Practice Address - Country:US
Practice Address - Phone:724-765-1031
Practice Address - Fax:724-765-1035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-08
Last Update Date:2008-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PACG1496Medicare PIN
PA074494Medicare PIN