| Upmc Presbyterian Shadyside | |
|
3811 Ohara St Pittsburgh PA 15213-2593 | |
| (412) 432-5500 | |
| Not Available |
| Full Name | Upmc Presbyterian Shadyside |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 3811 Ohara St, Pittsburgh, Pennsylvania |
| Authorized Official Name and Position | David Bobrzynski (CFO) |
| Authorized Official Contact | 4122466809 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Upmc Presbyterian Shadyside 600 Grant Street, Us Steel Tower, 59th Floor C/o Renee Johnson Pittsburgh PA 15219-2740 Ph: (412) 623-6303 | Upmc Presbyterian Shadyside 3811 Ohara St Pittsburgh PA 15213-2593 Ph: (412) 432-5500 |
| NPI Number | 1750390134 |
|---|---|
| Provider Enumeration Date | 08/05/2006 |
| Last Update Date | 11/27/2023 |
| Certification Date | 10/22/2020 |
| Medicare PECOS PAC ID | 3870401847 |
|---|---|
| Medicare Enrollment ID | O20080104000400 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750390134 | NPI | - | NPPES |
| 0110 | Other | PA | HIGHMARK PROVIDER NUMBER |
| P008399 | Other | PA | CHAMPUS NUMBER |
| 32 | Other | PA | UPMC FOR YOU NUMBER |
| 32 | Other | PA | UPMC HEALTH PLAN NUMBER |
| 323761A328909 | Other | PA | VALUE OPTIONS NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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