Upmc/HVHS Cancer Center
Organization Active NPI Mobile Radiology Clinic/Center · Beaver, PA
NPI 1972567972 · NPPES record last updated Feb 16, 2009
Key facts
- NPI
- 1972567972
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mobile Radiology Clinic/Center 261QR0208X
- Legal business name
- UPMC/HVHS CANCER CENTER
- Practice address
- 1000 Dutch Ridge Rd
Beaver, PA 15009-9727 - Phone
- (724) 773-7616
- Fax
- (724) 773-4673
- NPI assigned
- Apr 14, 2006
- Organization subpart
- No
Authorized official
- Name
- Charles E Bogosta
- Title
- Vice President
- Phone
- (412) 692-2451
Other NPIs with the same Medicare PAC ID 2
Corporate family (same tax ID) 2
Member of 1
Practitioners 12
-
Carl Friedrich Jueng, M.D.
-
Jessica Jane Kiger, FNP-C
-
Adam C Olson, M.D.
-
Michael Pennock, MD
-
Todd Blodgett, MD
-
Andrew M Brown, M.D.
-
Danika A Hogan, M.D.
-
Andrew Kaiser, MD
-
Gregg David Schubach, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051114000137 | PA | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 8224022181 | Practice locations: Beaver Falls, PA |
National Provider Directory
- Tax ID family
- Upmchvhs Cancer Center
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mobile Radiology Clinic/Center | 261QR0208X | Yes |
Addresses
Primary practice location
1000 Dutch Ridge Rd
Beaver, PA 15009-9727
Mailing address
2 Hot Metal St
Quantum One, N430
Pittsburgh, PA 15203-2348
Phone (412) 432-7706
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1556237 | Other | PA | HIGHMARK |
| 095764 | Other | PA | MEDICARE IDTF |
| 1008546250002 | Medicaid | PA | |
| 3810004028 | Medicaid | WV | |
| P00641712 | Other | PA | RAILROAD MEDICARE IDTF |
Other providers in Beaver, PA
- Tri-State Pulmonary Medicine, LTD.
- Tristate Surgical Associates
- Deborah Dawson Troy
- Joseph R Truskowski
- Jenny Unger
- Urology Associates of Beaver, PC
- Kendra Lyn Valdez
- Lacie Valiante
- Valley Medical Facilities Inc
- Valley Medical Facilities Inc
All providers in Beaver, PA · Mobile Radiology Clinic/Center in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 16, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.