Sto-rox Neighborhood Health Council, Inc. | |
151 Ruth Street Pittsburgh PA 15211-2308 | |
(412) 431-3520 | |
Not Available |
Full Name | Sto-rox Neighborhood Health Council, Inc. |
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Speciality | Clinic/Center |
Location | 151 Ruth Street, Pittsburgh, Pennsylvania |
Authorized Official Name and Position | Regis J Ryan (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 4127716462 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sto-rox Neighborhood Health Council, Inc. 151 Ruth Street Pittsburgh PA 15211-2308 Ph: (412) 431-3520 | Sto-rox Neighborhood Health Council, Inc. 151 Ruth Street Pittsburgh PA 15211-2308 Ph: (412) 431-3520 |
NPI Number | 1114339371 |
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Provider Enumeration Date | 05/22/2014 |
Last Update Date | 07/16/2014 |
Medicare PECOS PAC ID | 6406840404 |
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Medicare Enrollment ID | O20101019001530 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114339371 | NPI | - | NPPES |
100777811 0008 | Medicaid | PA | |
100777811 0007 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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