NPIMap

Organization Active NPI

St Clair Memorial Hospital

Doing business as St. Clair Hospital

  • General Acute Care Hospital
  • Pittsburgh, PA
National Provider Identifier
1073587119
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
450501 Issued in PA
Legal business name
ST CLAIR MEMORIAL HOSPITAL
Doing business as
St. Clair Hospital
Practice address
1000 Bower Hill Rd
Pittsburgh, PA 15243-1873
Phone
(412) 942-4558
Fax
(412) 942-4000
NPI assigned
Feb 15, 2006
Last updated
Apr 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Eric Luttringer
Title
Vice President of Finance
Phone
(412) 942-1202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 450501 PA Primary

Addresses

Primary practice location

1000 Bower Hill Rd
Pittsburgh, PA 15243-1873

Mailing address

1000 Bower Hill Road
St Clair Hospital - Affiliate Billing - Pamalyn
Pittsburgh, PA 15243-1873
Phone (412) 942-4000

Other identifiers 4

IdentifierTypeStateIssuer
1007552060025MedicaidPA
1007552060019MedicaidPA
1007552060026MedicaidPA
1007552060020MedicaidPA

Other names 1

  • St. Clair Hospital Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060425000038 PA Part A Provider - Hospital 9436063377 Practice locations: Bethel Park, PA; Bridgeville, PA; MC Murray, PA; Pittsburgh, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1073587119. Details of each certification follow.

Hospital certification: CCN 390228

Legal name
ST CLAIR MEMORIAL HOSPITAL
Doing business as
ST CLAIR HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jun 13, 2023
Beds
328 (295 certified)
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Dec 6, 1944 in PA
Enrollment address
1000 Bower Hill Rd
Pittsburgh, PA 15243-1873
Other Hospital Practice Location
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
St Clair HospitalCCN 390228 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
St Clair Memorial Hosp6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3928 Washington Rd
Ste 100
Canonsburg, PA 15317

Ownership & related parties

All disclosed owners & managing parties 26

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Virginia Rothschild Individual Corporate DirectorDirector Jan 11, 2023
Teresa Whalen Individual Corporate Director Jun 18, 2019
Eric M Wright Individual Corporate Director Nov 1, 2021
Scott Heeter Individual Corporate Director Jul 1, 2016
Donald P Orr Individual Corporate DirectorBoard Member Nov 1, 1992
Brett C Perricelli Individual Corporate Director Nov 1, 2020
John P Meegan Individual Corporate Director Aug 1, 2015
George Alan Yeasted Individual Corporate Director May 1, 1993
Douglas E Shaffer Individual Corporate Director Jan 1, 2016
Matthew George Pesacreta Individual Corporate Director Apr 16, 2019
Mario Fatigati Individual Corporate DirectorBoard Member Feb 1, 1998
Frank Arcuri Individual Corporate DirectorBoard Member Nov 1, 2012
Michael Flanagan Individual Operational/Managerial ControlCeo Jul 1, 2007 100%
Marc Zacur Individual Corporate DirectorBoard Member Nov 1, 2014
Stephanie Shaw Brown Individual Corporate DirectorBoard Member Oct 1, 2011
Eric Luttringer Individual Corporate OfficerSr VP and Cfo Apr 1, 2022
W-2 Managing EmployeeSr VP and Cfo Apr 1, 2022
St. Clair Health Corporation Organization, Pittsburgh, PA Non-profit 5% Or Greater Direct Ownership Interest Dec 12, 1985 100%
David Heilman Individual Corporate DirectorBoard Member Jan 1, 2005
Joseph Smith Individual Corporate DirectorBoard Member Oct 1, 1999
Thomas Medwig Individual Corporate DirectorBoard Member Oct 1, 1986
John T Sullivan Individual Corporate Officer Dec 4, 2017
Corporate Director Jan 1, 2019
W-2 Managing EmployeeSr. VP & Chief Medical Officer Dec 4, 2017
Laura Freedman Individual Corporate Director Aug 15, 2017
Jeffrey Rex Individual Corporate DirectorDirector Jan 1, 2022
Diane Puccetti Individual Corporate OfficerCno Apr 19, 2022
Thomas D Wright Individual Corporate Director Apr 17, 2018
Susan M Bicket Individual Corporate Director Jan 1, 2017

Owners & managing parties with NPI records 6

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Concordia Visiting NursesCabot, PA, CCN 397717 Home health agency 5% Or Greater Direct Ownership Interest (12%) Sep 1, 2015

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 63

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 63

Affiliated clinicians 682

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 682

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650412800000",
    "number": "1073587119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BOWER HILL ROAD",
            "address_2": "ST CLAIR HOSPITAL - AFFILIATE BILLING - PAMALYN",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152431873",
            "telephone_number": "412-942-4000",
            "fax_number": "412-942-1271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BOWER HILL RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152431873",
            "telephone_number": "412-942-4558",
            "fax_number": "412-942-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST CLAIR MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-15",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A",
        "authorized_official_last_name": "LUTTRINGER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE",
        "authorized_official_telephone_number": "412-942-1202",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "PA",
            "license": "450501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007552060025",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007552060019",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007552060026",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007552060020",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "St. Clair Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.