Provider Demographics
NPI:1831381946
Name:WEST PENN ALLEGHENY HEALTH SYSTEM, INC.
Entity type:Organization
Organization Name:WEST PENN ALLEGHENY HEALTH SYSTEM, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BARB
Authorized Official - Middle Name:
Authorized Official - Last Name:AMADIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-330-5015
Mailing Address - Street 1:320 E NORTH AVE
Mailing Address - Street 2:SUITE 108
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15212-4756
Mailing Address - Country:US
Mailing Address - Phone:412-359-6001
Mailing Address - Fax:412-359-4063
Practice Address - Street 1:320 E NORTH AVE
Practice Address - Street 2:SUITE 108
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15212-4756
Practice Address - Country:US
Practice Address - Phone:412-359-6001
Practice Address - Fax:412-359-4063
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-13
Last Update Date:2008-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA120606Medicare PIN