Central Outreach Wellness Center
Internal Medicine in Pittsburgh, PA. Organization (NPI-2).
Details
- NPI
- 1063804136
- Entity type
- Organization (NPI-2)
- Legal business name
- Central Outreach Wellness Center
- Organization subpart
- No
- Enumeration date
- Feb 26, 2015
- Certification date
- Mar 5, 2025
- Last updated
- Mar 5, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Practice location
127 Anderson StPittsburgh, PA 15212-5803
Phone 412-608-8313 · Fax 412-920-5861
Mailing address
Po Box 19425Cleveland, OH 44119-0425
Phone 412-322-4151 · Fax 844-389-1405
Other practice locations
Columbus, OH 43204-3332
Phone 614-360-2900
Washington, PA 15301-3822
Phone 724-249-2517
Aliquippa, PA 15001-2160
Phone 724-707-1155
Cleveland Heights, OH 44118-2557
Phone 216-360-1000
Erie, PA 16508-2820
Phone 814-619-4009
Authorized official
Stacy Lane
Owner
4126088313
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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