| Alliance Medical Services, Inc, Ensign I | |
|
729 Ensign Ave Pittsburgh PA 15226-1105 | |
| (412) 488-6360 | |
| (412) 488-6344 |
| Full Name | Alliance Medical Services, Inc, Ensign I |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 729 Ensign Ave, Pittsburgh, Pennsylvania |
| Authorized Official Name and Position | Stephen K Shaner (PROJECT DIRECTOR) |
| Authorized Official Contact | 4124886360 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alliance Medical Services, Inc, Ensign I 729 Ensign Ave Pittsburgh PA 15226-1105 Ph: (412) 488-6360 | Alliance Medical Services, Inc, Ensign I 729 Ensign Ave Pittsburgh PA 15226-1105 Ph: (412) 488-6360 |
| NPI Number | 1295817161 |
|---|---|
| Provider Enumeration Date | 10/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295817161 | NPI | - | NPPES |
| 1007386170001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 707223 (Pennsylvania) | Primary |
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