|
| |
|
807 Wallace Ave Pittsburgh PA 15221-2312 | |
| (412) 345-7730 | |
| (412) 242-0602 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 807 Wallace Ave, Pittsburgh, Pennsylvania |
| Authorized Official Name and Position | Rodney Jones (CEO) |
| Authorized Official Contact | 4123626353 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
6023 Harvard Sq Pittsburgh PA 15206-3053 Ph: (412) 361-8284 | 807 Wallace Ave Pittsburgh PA 15221-2312 Ph: (412) 345-7730 |
| NPI Number | 1669709655 |
|---|---|
| Provider Enumeration Date | 11/11/2009 |
| Last Update Date | 05/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669709655 | NPI | - | NPPES |
| 1007524920015 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Heritage Valley Multispecialty Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2201 Park Manor Blvd, Pittsburgh, PA 15205 Phone: 412-749-6920 Fax: 412-749-6779 | |
St. Clair Medical Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Bower Hill Road, St Clair Hospital - Affiliate Billing - Pamalyn, Pittsburgh, PA 15243 Phone: 412-942-2548 | |
Pittsburgh Family Practice Assoc., Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1517 Forbes Ave, Pittsburgh, PA 15219 Phone: 412-232-3555 Fax: 412-232-3523 | |
Allegheny Endocrinology Associates, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 420 E North Avenue, Suite 205, Pittsburgh, PA 15212 Phone: 412-359-3426 Fax: 412-359-6974 | |
Donna L. Knupp Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4381 Murray Ave, Pittsburgh, PA 15217 Phone: 412-521-2857 Fax: 412-521-4918 | |
University Of Pittsburgh Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5215 Centre Ave, First Floor, Pittsburgh, PA 15232 Phone: 412-647-3087 Fax: 412-647-4050 |