Provider Demographics
NPI:1811997315
Name:WEST PENN ALLEGHENY HEALTH SYSTEM
Entity type:Organization
Organization Name:WEST PENN ALLEGHENY HEALTH SYSTEM
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/WEST PENN ALLEGHENY HOME C
Authorized Official - Prefix:MRS
Authorized Official - First Name:NOREEN
Authorized Official - Middle Name:BINDER
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:412-330-4201
Mailing Address - Street 1:4 ALLEGHENY CENTER, 6TH FLOOR, SUITE 603
Mailing Address - Street 2:WEST PENN ALLEGHENY HOME CARE
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15212
Mailing Address - Country:US
Mailing Address - Phone:412-330-4211
Mailing Address - Fax:412-330-4210
Practice Address - Street 1:4 ALLEGHENY CENTER, 6TH FLOOR, SUITE 603
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15212
Practice Address - Country:US
Practice Address - Phone:412-330-4211
Practice Address - Fax:412-330-4210
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WEST PENN ALLEGHENY HEALTH SYSTEM
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-07-26
Last Update Date:2011-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA707605251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007508630056Medicaid
PA1007508630056Medicaid