Upmc Braddock

Organization Active NPI Ambulatory Surgical Clinic/Center · Pittsburgh, PA

NPI 1407910342 · NPPES record last updated Dec 31, 2007

Key facts

NPI
1407910342
Entity type
Organization (NPI type 2)
Primary specialty
Ambulatory Surgical Clinic/Center 261QA1903X
Legal business name
UPMC BRADDOCK
Practice address
200 Lothrop St
Quantum #1 3Rd FL
Pittsburgh, PA 15213-2536
Phone
(412) 432-5500
NPI assigned
Dec 21, 2006
Organization subpart
No

Authorized official

Name
Mrs. Susan Mammarella, CFO
Title
Cfo
Phone
(412) 636-5314

Corporate family (same tax ID) 2

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

National Provider Directory

Tax ID family
Braddock Medical Center (3 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Yes

Addresses

Primary practice location

200 Lothrop St
Quantum #1 3Rd FL
Pittsburgh, PA 15213-2536

Mailing address

400 Holland Ave
Braddock, PA 15104-1599
Phone (412) 432-5500

Other identifiers

IdentifierTypeStateIssuer
0002OtherPAHIGHMARK PROVIDER NUMBER

Other providers in Pittsburgh, PA

All providers in Pittsburgh, PA · Ambulatory Surgical Clinic/Center in Pennsylvania

Sources for this page

Verify at the official NPI Registry.