| Alliance Medical Services | |
|
739 Ensign Ave Pittsburgh PA 15226-1105 | |
| (412) 488-6360 | |
| Not Available |
| Full Name | Alliance Medical Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 739 Ensign Ave, Pittsburgh, Pennsylvania |
| Authorized Official Name and Position | Robyn Tanis (EXECUTIVE DIRECTOR OF CONTRACT MGMT) |
| Authorized Official Contact | 8565338762 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alliance Medical Services 1317 Route 73 Ste 200 Mount Laurel NJ 08054-2202 Ph: (856) 429-6111 | Alliance Medical Services 739 Ensign Ave Pittsburgh PA 15226-1105 Ph: (412) 488-6360 |
| NPI Number | 1063632982 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 12/13/2019 |
| Certification Date | 12/13/2019 |
| Medicare PECOS PAC ID | 7214368364 |
|---|---|
| Medicare Enrollment ID | O20200506000213 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063632982 | NPI | - | NPPES |
| 1018435640001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 707255 (Pennsylvania) | Secondary |
| 261QM2800X | Clinic/center - Methadone | (* (Not Available)) | Primary |
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