Upmc Community Medicine Inc

Organization Active NPI Family Medicine Physician · Lower Burrell, PA

NPI 1346544749 · NPPES record last updated Dec 29, 2010

Key facts

NPI
1346544749
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
UPMC COMMUNITY MEDICINE INC
Practice address
1600 Wildlife Lodge Rd
Suite 100
Lower Burrell, PA 15068-3652
Phone
(724) 334-2000
Fax
(724) 334-4500
NPI assigned
Dec 29, 2010
Organization subpart
No

Authorized official

Name
Mr. Mark T Ehalt
Title
Sr.Director
Phone
(412) 647-0943

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040217000388 PA Part B Supplier - Clinic/Group Practice 2062318975 Receives reassigned benefits from 1,494 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

Locations

1600 Wildlife Lodge Rd
Ste 100
Lower Burrell, PA 15068
Phone (724) 334-2000

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207Q00000X Yes

Addresses

Primary practice location

1600 Wildlife Lodge Rd
Suite 100
Lower Burrell, PA 15068-3652

Mailing address

1600 Wildlife Lodge Rd
Suite 100
Lower Burrell, PA 15068-3652
Phone (724) 334-2000

Other names

  • BURRELL MEDICAL CENTER-UPMC Other name

Other providers in Lower Burrell, PA

All providers in Lower Burrell, PA · Family Medicine Physician in Pennsylvania

Sources for this page

Verify at the official NPI Registry.