| Heritage Valley Kennedy | |
|
25 Heckel Rd Mc Kees Rocks PA 15136-1651 | |
| (412) 777-6161 | |
| (412) 777-6838 |
| Full Name | Heritage Valley Kennedy |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 25 Heckel Rd, Mc Kees Rocks, Pennsylvania |
| Authorized Official Name and Position | Robert M Rosenberger (CFO) |
| Authorized Official Contact | 7247734730 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heritage Valley Kennedy 25 Heckel Rd Mc Kees Rocks PA 15136-1651 Ph: (412) 777-6161 | Heritage Valley Kennedy 25 Heckel Rd Mc Kees Rocks PA 15136-1651 Ph: (412) 777-6161 |
| NPI Number | 1326339862 |
|---|---|
| Provider Enumeration Date | 05/02/2011 |
| Last Update Date | 06/15/2021 |
| Certification Date | 06/15/2021 |
| Medicare PECOS PAC ID | 8325956592 |
|---|---|
| Medicare Enrollment ID | O20071210000204 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326339862 | NPI | - | NPPES |
| 1007502820024 | Medicaid | PA | |
| 1007502820003 | Medicaid | PA | |
| 1007502820014 | Medicaid | PA | |
| 0169494000 | Medicaid | WV | |
| P008461 | Other | PA | CHAMPUS |
| 0146416 | Medicaid | OH | |
| 374735 | Other | PA | BLACK LUNG |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 273R00000X (Pennsylvania) | Primary |
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