Allegheny General Hospital

Organization Active NPI End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Wexford, PA

NPI 1891701421 · NPPES record last updated Jun 1, 2012

Key facts

NPI
1891701421
Entity type
Organization (NPI type 2)
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
License
530101 (PA)
Legal business name
ALLEGHENY GENERAL HOSPITAL
Practice address
11676 Perry Hwy
Suite 2201 Wexford Professional Building II
Wexford, PA 15090-7201
Phone
(724) 395-3200
Fax
(724) 934-0140
NPI assigned
Aug 1, 2006
Organization subpart
Yes
Parent organization (as reported)
ALLEGHENY GENERAL HOSPITAL

Authorized official

Name
Mr. Rick Fries
Title
Interim VP Finance
Phone
(412) 359-8550

Corporate family (same tax ID) 16

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

National Provider Directory

Tax ID family
Alleheny Psych Assoc (17 organizations share this tax ID)
Part of
Alleheny Psych Assoc

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X 530101 PA Yes

Addresses

Primary practice location

11676 Perry Hwy
Suite 2201 Wexford Professional Building II
Wexford, PA 15090-7201

Mailing address

320 E North Ave
Pittsburgh, PA 15212-4756
Phone (412) 359-3131

Other identifiers

IdentifierTypeStateIssuer
1007508630045MedicaidPA

Other names

  • Allegheny Kidney Treatment Center Other name

Other providers in Wexford, PA

All providers in Wexford, PA · End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Pennsylvania

Sources for this page

Verify at the official NPI Registry.