NPIMap

Organization Active NPI

East Liberty Family Health Care Center

  • Non-Pharmacy Dispensing Site
  • Pittsburgh, PA
National Provider Identifier
1982738753
Registry record updated Oct 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
MD024454E Issued in PA
Legal business name
EAST LIBERTY FAMILY HEALTH CARE CENTER
Practice address
7171 Churchland St
Pittsburgh, PA 15206-1217
Phone
(412) 345-0414
NPI assigned
Mar 15, 2007
Last updated
Oct 21, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lynne Medley-Long
Title
Executive Director
Phone
(412) 361-8284

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU
Non-Pharmacy Dispensing Site 332900000X MD024454E PA Primary

Addresses

Primary practice location

7171 Churchland St
Pittsburgh, PA 15206-1217

Mailing address

7171 Churchland St
Pittsburgh, PA 15206-1217
Phone (412) 345-0414

Other identifiers 2

IdentifierTypeStateIssuer
3979955OtherPANCDP
1007524920002MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
East Liberty Family Hea4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CIHGBA

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256083200000",
    "number": "1982738753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7171 CHURCHLAND ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152061217",
            "telephone_number": "412-345-0414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7171 CHURCHLAND ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152061217",
            "telephone_number": "412-345-0414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST LIBERTY FAMILY HEALTH CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2009-10-21",
        "status": "A",
        "authorized_official_last_name": "MEDLEY-LONG",
        "authorized_official_first_name": "LYNNE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "412-361-8284"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "PA",
            "license": "MD024454E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCDP",
            "identifier": "3979955",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007524920002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2009; 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.