NPIMap

Organization Active NPI

Canonsburg General Hospital

  • Occupational Medicine Clinic/Center
  • Canonsburg, PA
National Provider Identifier
1104953702
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
Legal business name
CANONSBURG GENERAL HOSPITAL
Practice address
400 Southpointe Blvd
Plaza 1 Suite235
Canonsburg, PA 15317-8549
Phone
(724) 743-1800
Fax
(724) 743-3291
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Terry Wiltrout
Title
Director of Operations
Phone
(724) 873-5880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X Primary

Addresses

Primary practice location

400 Southpointe Blvd
Plaza 1 Suite235
Canonsburg, PA 15317-8549

Mailing address

400 Southpointe Blvd
Plaza 1 Suite235
Canonsburg, PA 15317-8549
Phone (724) 743-1800

Other names 1

  • Health Works Other name

National Provider Directory

National Provider Directory
Tax ID family
Forbes Family Practice4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

400 Southpointe Blvd
Ste 235
Canonsburg, PA 15317
Phone (724) 271-3700

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104953702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SOUTHPOINTE BLVD",
            "address_2": "PLAZA 1 SUITE235",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153178549",
            "telephone_number": "724-743-1800",
            "fax_number": "724-743-3291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SOUTHPOINTE BLVD",
            "address_2": "PLAZA 1 SUITE235",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153178549",
            "telephone_number": "724-743-1800",
            "fax_number": "724-743-3291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANONSBURG GENERAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILTROUT",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "724-873-5880",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Works",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Canonsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.