NPIMap

Organization Active NPI

Squirrel Hill Health Center

  • Federally Qualified Health Center (FQHC)
  • Turtle Creek, PA
National Provider Identifier
1992469506
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
SQUIRREL HILL HEALTH CENTER
Practice address
519 Penn Ave Ste 2
Turtle Creek, PA 15145-2082
Phone
(412) 422-7442
NPI assigned
Oct 29, 2021
Organization subpart
Yes
Parent organization
SQUIRREL HILL HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

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

Authorized official

Name
Susan Freidberg Kalson
Title
Ceo
Phone
(412) 422-7442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

519 Penn Ave Ste 2
Turtle Creek, PA 15145-2082

Mailing address

4516 Browns Hill Rd
Pittsburgh, PA 15217-2917
Phone (412) 422-7442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240713000340 PA Part A Provider - Federally Qualified Health Center (FQHC) 2567473937 Practice locations: Turtle Creek, PA

Federally qualified health center certification: CCN D31004

Legal name
SQUIRREL HILL HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 22, 2024
Last certification
May 22, 2024
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jul 13, 2004 in PA
Enrollment address
519 Penn Ave
Turtle Creek, PA 15145-2082

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Squirrel Hill Health Center4 organizations share this tax ID, including this one
Part of
Squirrel Hill Health Center

Other organizations with this tax ID 3

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

Locations

519 Penn Ave
Ste 2
Turtle Creek, PA 15145
Phone (412) 422-7442

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Ganga Baral Individual OtherPatient Jan 1, 2018
Elizabeth Hazlett Individual OtherSecretary Jan 1, 2022
Amy Cohn Individual W-2 Managing Employee Jan 1, 2021
Thomas Albanesi Individual OtherTreasurer Jan 1, 2017
Susan Kalson Individual OtherExecutive Management Jan 1, 2006

NPI Registry JSON

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

{
    "created_epoch": "1635465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676592000000",
    "number": "1992469506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4516 BROWNS HILL RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152172917",
            "telephone_number": "412-422-7442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 PENN AVE STE 2",
            "city": "TURTLE CREEK",
            "state": "PA",
            "postal_code": "151452082",
            "telephone_number": "412-422-7442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SQUIRREL HILL HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SQUIRREL HILL HEALTH CENTER",
        "enumeration_date": "2021-10-29",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A",
        "authorized_official_last_name": "FREIDBERG KALSON",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "412-422-7442"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Turtle Creek, PA

Sources for this page

Verify at the official NPI Registry.