Organization Active NPI

Alle Kiski Medical Center

  • Institutional Pharmacy
  • Natrona Heights, PA
National Provider Identifier
1699387779
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Institutional PharmacyTaxonomy code 3336I0012X
Legal business name
ALLE KISKI MEDICAL CENTER
Practice address
1301 Carlisle St Third Floor
Natrona Heights, PA 15065-1152
Phone
(724) 226-7197
Fax
(724) 389-6517
NPI assigned
Aug 19, 2020
Organization subpart
Yes
Parent organization
ALLE-KISKI MEDICAL CENTERAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Andrew Tisch
Title
Director Reimbursement
Phone
(412) 330-6062

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Corporate family (same tax ID) 6

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

National Provider Directory

National Provider Directory
Tax ID family
Alle-Kiski Medical Center - Spu (7 organizations share this tax ID)
Part of
Alle-Kiski Medical Center - Spu

Locations

1301 Carlisle St
Fl 3
Natrona Heights, PA 15065

1301 Carlisle St
Fl Third
Natrona Heights, PA 15065
Phone (724) 226-7197

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X
Institutional Pharmacy 3336I0012X Primary

Addresses

NPPES NPI Registry

Primary practice location

1301 Carlisle St Third Floor
Natrona Heights, PA 15065-1152

Mailing address

1301 Carlisle St Third Floor
Natrona Heights, PA 15065-1152
Phone (724) 226-7197

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1007447680011MedicaidPA

Other names 1

NPPES NPI Registry
  • Allegheny Valley Discharge Pharmacy Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 12, 2024.

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1699387779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 CARLISLE ST THIRD FLOOR",
            "city": "NATRONA HEIGHTS",
            "state": "PA",
            "postal_code": "150651152",
            "telephone_number": "724-226-7197",
            "fax_number": "724-389-6517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 CARLISLE ST THIRD FLOOR",
            "city": "NATRONA HEIGHTS",
            "state": "PA",
            "postal_code": "150651152",
            "telephone_number": "724-226-7197",
            "fax_number": "724-389-6517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLE KISKI MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALLE-KISKI MEDICAL CENTER",
        "enumeration_date": "2020-08-19",
        "last_updated": "2024-08-12",
        "certification_date": "2024-06-04",
        "status": "A",
        "authorized_official_last_name": "TISCH",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "DIRECTOR REIMBURSEMENT",
        "authorized_official_telephone_number": "412-330-6062"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007447680011",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allegheny Valley Discharge Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Natrona Heights, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.