Provider Demographics
NPI:1770555898
Name:THREE RIVERS CARDIAC INSTITUTE INC.
Entity type:Organization
Organization Name:THREE RIVERS CARDIAC INSTITUTE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SALLY
Authorized Official - Middle Name:JOANNE
Authorized Official - Last Name:TREW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-431-4328
Mailing Address - Street 1:127 ONEIDA VALLEY RD STE 201
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-2239
Mailing Address - Country:US
Mailing Address - Phone:724-282-4370
Mailing Address - Fax:724-431-2288
Practice Address - Street 1:127 ONEIDA VALLEY RD STE 201
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001
Practice Address - Country:US
Practice Address - Phone:724-282-4370
Practice Address - Fax:724-431-2288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-02
Last Update Date:2018-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA135243OtherHIGHMARK/KEYSTONE
PA69142OtherTHREE RIVERS HEALTH PLAN
PA77789OtherUS HEALTHCARE
PACB0150OtherMEDICARE RAILROAD
PA1002625OtherGATEWAY HEALTH PLAN
PA6946180004Medicaid
PA77789OtherAETNA
OH611403Medicaid
PACB0150OtherUNITED HEALTHCARE
PACB0150OtherMEDICARE RAILROAD
PA77789OtherAETNA