Allegheny Clinic
Internal Medicine in West Mifflin, PA. Organization (NPI-2).
NPI number1568898559
StatusActive
Last updated in NPPESNov 6, 2020
Details
- NPI
- 1568898559
- Entity type
- Organization (NPI-2)
- Legal business name
- Allegheny Clinic
- Organization subpart
- No
- Enumeration date
- Sep 23, 2013
- Certification date
- Nov 6, 2020
- Last updated
- Nov 6, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
| 207Q00000X | Family Medicine | – | – |
Other names
- Century 111 Medical Associates (Doing Business As)
Practice location
2027 Lebanon Church RdWest Mifflin, PA 15122-2461
Phone 412-655-8650 · Fax 412-655-6409
Mailing address
4 Allegheny Ctr Fl 7Pittsburgh, PA 15212-5255
Phone 412-330-5861 · Fax 412-330-5844
Authorized official
Cindy Waltemire
Provider Enrollment Specialst
4123305864
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