| Upmc Braddock | |
|
400 Holland Ave Braddock PA 15104-1599 | |
| (412) 432-5500 | |
| Not Available |
| Full Name | Upmc Braddock |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 400 Holland Ave, Braddock, Pennsylvania |
| Authorized Official Name and Position | Susan Mammarella (CFO) |
| Authorized Official Contact | 4126365314 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Upmc Braddock Po Box 382007 Pittsburgh PA 15250-8007 Ph: () - | Upmc Braddock 400 Holland Ave Braddock PA 15104-1599 Ph: (412) 432-5500 |
| NPI Number | 1710997341 |
|---|---|
| Provider Enumeration Date | 08/08/2006 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710997341 | NPI | - | NPPES |
| 1007360690008 | Other | PA | ION HEALTHCARE NUMBER |
| 1007360690008 | Medicaid | PA | |
| 0906 | Other | PA | HIGHMARK PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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