# PRESBYTERIAN MEDICAL CENTER OF OAKMONT PA INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Willows of Presbyterian Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003887415
- **Authorized official:** MR. ANDREW MANGENE CPA (SENIOR VICE PRESIDENT OF FINANCE)
- **Authorized official phone:** (412) 826-6081

## Contact information

- **Practice address:** 1215 HULTON RD, OAKMONT, PA 15139-1135
- **Practice address phone:** (412) 828-5600
- **Practice address fax:** (412) 826-6121
- **Mailing address:** 1215 HULTON RD, OAKMONT, PA 15139-1135
- **Mailing address phone:** (412) 828-5600
- **Mailing address fax:** (412) 826-6121

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 161502 | PA | — |
| 314000000X | Skilled Nursing Facility | 161502 | PA | Yes |

## Other

- **Enumeration date:** 02/01/2006
- **Last updated:** 04/29/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0010338930002 | — | PA |
| 01 | — | 0686 | BLUE CROSS | PA |
| 01 | — | 105 | UPMC | PA |
| 01 | — | 15720 | ADVANTRA | PA |